Effect of minimally invasive puncture drainage combined with craniotomy hematoma evacuation in the treatment of patients with hypertensive cerebral hemorrhage and cerebral hernia
ZHANG Yong-an XU Jian-ping CHEN Xu GONG Shao-hui YU Bin XIONG Cheng-ying ZHAN Jian
Department of Neurosurgery, Shangrao People′s Hospital, Jiangxi Province, Shangrao 334000, China
Abstract：Objective To explore clinical effect of minimally invasive puncture drainage combined with craniotomy hematoma evacuation in the treatment of patients with hypertensive cerebral hemorrhage and cerebral hernia.Methods A total of 214 patients with hypertensive cerebral hemorrhage and cerebral hernia treated in our hospital from March 2013 to September 2017 were selected as the research subjects.They were divided into the control group (103 cases)and the observation group (111 cases) according to different surgical methods.The patients in control group underwent craniotomy hematoma evacuation, while patients in observation group underwent minimally invasive puncture drainage combined with craniotomy hematoma evacuation.The time of relieving brain tissue pressure, postoperative awake time,hospitalization time and incidence of postoperative complications in both groups were recorded.The treatment effect was compared between the two groups.At 6 months after surgery, Glasgow outcome scale (GOS) was applied to evaluate prognosis, and the quality of life was evaluated by the MOS item short from health survey (SF-36).Results The total effective rate of treatment in the observation group was 89.19%, which was higher than 77.67% in the control group,and the difference was statistically significant (P＜0.05).The time of relieving brain tissue pressure and hospitalization time in the observation group were shorter than those in the control group, with statistically significant differences (P＜0.05).The postoperative awake time in the observation group was shorter than that in the control group, and the difference was statistically significant (P＜0.05).The total incidence rate of postoperative complications in the observation group was 15.32%, which was lower than 28.16% in the control group, and the difference was statistically significant(P ＜0.05).The prognosis of the observation group was better than that of the control group, and the difference was statistically significant (P＜0.05).The quality of life scores of patients in the observation group at 6 months after surgery were higher than those in the control group, and the differences were statistically significant (P＜0.05).Conclusion The effect of minimally invasive puncture drainage combined with craniotomy hematoma evacuation is good in patients with hypertensive cerebral hemorrhage combined with cerebral hernia, which can effectively improve their prognosis, and increase quality of life.
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