Clinical Effect Analysis Of Minimally Invasive Surgery With FDFN Head Frame In The Treatment Of Basal Ganglia Cerebral Hemorrhage

Objectives To explore the clinical efficacy of two different methods: minimally invasive surgery using FDFN(For the doctors For the nurses)head frame with corticospinal tract as the protective target and internal conservative treatment in the treatment of hypertensive basal ganglia cerebral hemorrhage(20~40ml).Methods Patients with hypertensive basal ganglia cerebral hemorrhage who met the inclusion criteria in Tangshan Workers' Hospital from August 2018 to August 2019 were selected,and divided into study group and control group according to the computer-edited random number method,among which 30 were in the study group.In the control group,45 patients received conservative medical treatment.Through prospective studies,the hospital stay and hematoma absorption time of the patients,changes in edema volume at 1 and 3 weeks after admission,changes in FA value after admission,ADL and NIHSS score at 3 months after admission,and mortality were compared for clinical analysis.Results There was no significant difference in general information between the two groups.which was comparable.The volume of cerebral edema(31.71±6.59)ml in the conservative treatment group was significantly higher than that in the minimally invasive treatment group(16.05±10.17)ml one week after surgery[Z=-5.634,P=0.000];The volume of cerebral edema(19.65±12.32)ml in the conservative treatment group was significantly higher than that in the minimally invasive treatment group(9.38±6.30)ml at 3 weeks after surgery[Z=-5.834,P=0.000<0.05];FA value(0.57±0.03)in the conservative treatment group was significantly lower than that in the minimally invasive treatment group(0.61±0.02)at 3 weeks after surgery[Z=-5.761,P=0.000];The hematoma absorption time(31.56±6.02)d in the conservative treatment group was higher than that in the minimally invasive treatment group(11.31±5.24)d[Z=-7.217,P=0.000];The length of hospital stay(27.71±9.45)d in the conservative group was higher than that in the minimally invasive group(22.07±8.45)d[Z=-3.195,P=0.001<0.05];NIHSS score at 1 month in the conservative group(9.96±3.05)was significantly higher than that in the minimally invasive treatment group(5.67±2.29)[Z=-5.626,P=0.000<0.05],and NIHSS score at 3 months in the conservative treatment group(8.98±4.09)was significantly higher than that in the minimally invasive treatment group(4.43±1.78)[Z=-5.548,P=0.000];ADL(48.30±19.08)in the conservative treatment group was significantly lower than that in the minimally invasive treatment group(61.72±21.56)at 3 months after surgery[t=-2.794,P=0.007<0.05];Mortality in the conservatively treated group(2.2%)versus the minimally invasive group(3.3%)[?~2=0.000,P=1.000>0.05].Conclusions For patients with 20~40ml intracerebral hemorrhage in basal ganglia region,The minimally invasive surgery using FDFN head frame with corticospinal tract as the protective targe can significantly reduce the edema around the hematoma,better promote the recovery of corticospinal tract,shorten the absorption time of the hematoma and the hospitalization time of the patient,and better promote the neurological rehabilitation of the patient;Figure11;Table 8;Reference 45...