Clinical analysis of small skull window craniotomy for hypertensive intracerebral hemorrhage

Abstract

Objective To investigate the effect of small bone window hematoma ventriculoscope for clinical treatment of hypertensive cerebral hemorrhage. Methods From January 2014 to June 2017, 80 patients with hypertensive cerebral hemorrhage in Zhejiang Rongjun Hospital were selected and randomly divided into two groups according to the digital table, with 40 cases in each group.The control group underwent conventional craniotomy hematoma removal surgery, the observation group received small bone window hematoma ventriculoscope treatment.The operation situation, hospitalization time, clinical efficacy and nerve function defect score, ADL score, the incidence rate of complications were compared between the two groups. Results There was no statisticall significant difference in operation time between the two groups(t=0.284, P>0.05). The amount of intraoperative bleeding of the observation group was (35.47±10.69)mL, which was significantly less than (96.85±27.54)mL of the control group (t=13.141, P<0.05). The hospitalization time of the observation group was significantly shorter than the control group[(8.52±2.31)d vs.(11.79±3.05)d](t=5.405, P<0.05). The total effective rate of observation group was 92.5%(37/40), which was higher than 75.0%(30/40) in the control group(χ2=4.501, P<0.05). After treatment, the neural function defect score and daily life ability score of the observation group were (17.59±2.98) points, (82.45±6.03)points, respectively, which were significantly higher than those of the control group[(22.17±3.06) points, (73.21±5.12) points](t=6.782, 7.388, all P<0.05). The incidence rate of complications of the observation group was 5.0%(2/40), which was significantly lower than 20.0%(8/40) in the control group(χ2=4.114, P<0.05). Conclusion Small bone window craniotomy evacuation of hematoma in the treatment of hypertensive cerebral hemorrhage, not only has significant clinical efficacy, but also has the advantages of less intraoperative blood loss, rapid postoperative recovery, less complications and so on. Key words: Intracranial hemorrhage, hypertensive; Ventricle mirror; Small bone window hematoma clearance