A study on the therapeutic effect of combined minimally invasive operation on the ultra-early stage of basal ganglia hemorrhage

Abstract

In this study, 151 patients with hypertensive basal ganglia hemorrhage were divided into 2 groups based on different operation methods. One was combined treatment group including 68 patients, who accepted combined minimally invasive operation (transfrontal trepanation and drainage combined with transtemporal evacuation of hematoma) on the ultra-early stage of onset. Another was control group including 83 patients, who were treated by craniotomy evacuation of hematoma and decompressive craniectomy. Compared with control group, the short-term and long-term efficacy of combined treatment was not significantly different (P > 0.05, for all). However, the combined treatment group performed significantly much better than the control group on several aspects. Patients in combined treatment group had shorter revival time and lower incidence rate of electrolyte disturbance and hypoproteinemia, and the difference was statistically significant (P < 0.05). Combined minimally invasive operation on the ultra-early stage is a safe and effective method in the treatment of basal ganglia hemorrhage.doi：10.3969/j.issn.1672-6731.2014.01.012

Keywords

• Intracranial hemorrhage, hypertensive
• Basal ganglia
• Drainage
• Surgical procedures, minimally invasive