Minimally invasive transfrontal puncture drainage for hypertensive basal ganglia hemorrhage using soft drainage tubes: 76 cases reported

Abstract

Objective To evaluate the techniques and clinical effect of minimally invasive transfrontal puncture drainage using soft drainage tubes in the treatment of hypertensive basal ganglia hemorrhage. Methods Seventy-six patients with hypertensive basal ganglia hematomas received minimally invasive puncture drainage of the hematomas using soft drainage tubes. The puncture site was located in the frontal region on the hemorrhage side at 7-9 cm from the glabella and 3.5-4.5 cm adjacent to the midline. The puncture direction and depth was estimated according to the head CT data. Results The indwelling time of the drainage tubes ranged from 36 to 120 h (mean 70±5.6 h) after the operation. Three patients (3.95%) had recurrent hemorrhage after the operation, but intracranial infection or pneumocephalus occurred in none of the cases. Of tbe 76 patients, 11 had basic clinical cures, 35 showed marked improvements, and 16 showed improvements, with a total effective rate of 81.6%. Four patients failed to show improvements or had exacerbations, and 10 died after the operation, with a mortality rate of 13.2%. Conclusion Minimally invasive transfrontal puncture drainage using soft drainage tubes is effective for treatment of hypertensive basal ganglia hematomas. With simple surgical procedures, this approach can effectively reduce the occurrence of complications and improve the prognosis of the patients. Key words: Intracranial hemorrhage, hypertensive; Basal ganglia; Minimally invasive puncture drainage; Soft drainage tubes