Analysis of surgical effect and prognosis of 200 patients with hypertensive cerebral hemorrhage in thalami basal ganglia

Abstract

Objective To explore surgical effect and prognosis of 200 patients with hypertensive cerebral hemorrhage in thalami basal ganglia. Methods A retrospective analysis of clinical data was carried out in 200 patients with hypertensive cerebral hemorrhage in thalami basal ganglia who received surgical treatment in the Affiliated Hospital of Logistics College of Chinese People’s Armed Police Force from November 2014 to November 2016. Patients with good recovery+mild disability were classed as good prognosis group, and patients with severe disability+vegetative state+death were classed as poor prognosis group. Finally, influencing factors of operative prognosis were analyzed. Results In 200 patients, 49 cases had good recovery (24.5%), 66 cases were mild disability (33.0%), 46 cases were severe disability (23.0%), 24 cases were vegetative state (12.0%), 15 cases died (7.5%). Incidence of age<50 years old, operation time≤6 h, volume of hematoma 30-50 ml, preoperative GCS scores≥8 in good prognosis group were significantly higher than poor prognosis group, incidence of hemorrhage with intraventricular hemorrhage and postoperative complications were significantly lower than poor prognosis group (P<0.05); Logistic regression analysis showed that operation time, volume of hematoma, preoperative GCS scores, hemorrhage with intraventricular hemorrhage were independent risk factors which affected the operative prognosis of patients with hypertensive cerebral hemorrhage in thalami basal ganglia. Conclusion Surgery is an effective method to treat hypertensive cerebral hemorrhage in thalami basal ganglia in clinic. Operation time, volume of hematoma, preoperative GCS scores, and hemorrhage with intraventricular hemorrhage are important influencing factors which affect operative prognosis. Key words: Basal ganglia; Hypertensive cerebral hemorrhage; Prognosis; Influencing factor