Comparison of hematoma removal effect of two approaches in patients with hypertensive basal ganglia hematoma

SUN Jian; HONG Shunming; DU Haibin; LI Jianqiang

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Medical Journal of the Chinese People Armed Police Forces ›› 2022, Vol. 33 ›› Issue (7) : 590-593.

ORIGINAL ARTICLES

Comparison of hematoma removal effect of two approaches in patients with hypertensive basal ganglia hematoma

SUN Jian¹, HONG Shunming², DU Haibin¹, LI Jianqiang¹

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Abstract

Objective To compare the hematoma removal effect of trans-sylvian insular approach and ventriculostomy through middle frontal gyrus approach in hypertensive basal ganglia hemorrhage (HBGH) patients.Methods One hundred and eight patients with HBGH treated in Beijing Changping Hospital from October 2019 to January 2022 were divided into two groups according to surgical treatments, with 54 cases underwent trans-sylvian insular approach (control group) and ventriculostomy through middle frontal gyrus approach (observational group), respectively. The operation time (OT), postoperative recovery time (PRT), hematoma clearance rate (HCR), operation-related complication (ORC), and Glasgow Outcome Scale (GOS) 3 months after surgery of the two groups were compared.Results The hematoma clearance rate in the observational group was 91.63%±0.77%, which was significantly higher than that in the control group (82.82%±2.62%) (P<0.05). The cases with operation time, intraoperative bleeding loss, operation-related complication, and hospital staying of the observation group were significantly lower than those of the control group, while GOS 3 months after surgery were significantly higher than that of the control group (P<0.05).Conclusion The ventriculostomy through middle frontal gyrus approach is more convenient than trans-sylvian insular approach in hematoma removal of HBGH patients, especially in shortening operation, reducing postoperative complication, and improving hematoma effect and neurological prognosis.

Key words

ventriculostomy through middle frontal gyrus approach / trans-sylvian insular approach / hypertensive basal ganglia hemorrhage / hematoma evacuation / minimally invasive

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SUN Jian, HONG Shunming, DU Haibin, LI Jianqiang. Comparison of hematoma removal effect of two approaches in patients with hypertensive basal ganglia hematoma[J]. Medical Journal of the Chinese People Armed Police Forces. 2022, 33(7): 590-593

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