Comparison of the curative effect between two kinds of minimally invasive surgical treatment of hypertensive basal ganglia hemorrhage rupturing into the ventricles of the brain

Abstract

Objective To explore the clinical effects of two kinds for puncture and drainage hypertensive basal ganglia hemorrhage rupturing into the ventricles,which were the small bone window craniotomy with ventricle puncture and then drainage,and the method of YL-I-type needle aspiration with intraventricularhematoma puncture and then broken-Methods 86 cases of patients with hypertensive hasal ganglia hemorrhage rupturing into the ventriclesof the brain were divided into two groups according to GCS score,The clinical data of two groups of patients were retrospectively analyzed using two kinds of different surgical methocls.Resuhs Among the 40 cases of patients with CCS 8-12 points,some one in the group using YL-I type hematoma puncture and broken suction surgery, prognnsis were better than the one in the group using the surgery of a small bone window craniotoniy,the difference was significant (P<0.05).Among the 46 cases with GCS5-7 points,except the time of operation and bleeding in the operation, there was no significant difference on the curative effect of the operation,pmgrreisbut.Concliusions CCS score should be used as an important indicator as the choice for the treatment of the patients Hypertensive basal ganglia bemonhagenipturing into the ventricles. When the GCS was ≥ 8,it had a good effect to use the YL-I-type needle puncture hematoma broken suction + ventricle puncture drainage. Key words: Basal ganglia hemorrhage; Ventricular drainage; Small bone window craniotomy; Hematoma aspiration in