Craniotomy With Small Bone Flap Approach Microsurgical Treatment For Grade Ⅲ-Ⅳ Hypertensive Basal Ganglia Region Hemorrhage

Objective:To explore the efficacy and safety of craniotomy with small bone flap approach microsurgical treatment for grade III-IV hypertensive basal ganglia region hemorrhage.Methods:Select 42 cases of grade III-IV hypertensive basal ganglia region hemorrhage, randomly divided into two groups, one group received the craniotomy with small bone flap approach microsurgical(22 cases), another group received the traditional method with large bone flap craniotomy(20 cases). All patients received the same standardized comprehensive treatment after surgery and intracranial pressure monitoring. Through the statistic analysis. We compared two groups of patients with postoperative intracranial pressure, hematoma clearance rate, rebleeding rate, complications rate, mortality and postoperative 30d of the GOS scores. To explore the efficacy of craniotomy with small bone flap approach microsurgical treatment for grade III-IV hypertensive basal ganglia region hemorrhage, the efficacy of decompression and the safey of microsurgical.Results:1. There was no statistically significant difference between the two groups at age, preoperative GCS score, hematoma volume (P> 0.05); the hematoma clearance rate of postoperative between the two groups was no statistically significant difference(P> 0.05).2. The rate of postoperative rebleeding between the two groups:no statisitically significant difference (P> 0.05).3. The rate of postoperative complications between the two groups:no statisitically significant difference (P> 0.05).4. The mortality between the two groups:no statisitically significant difference (P> 0.05).5. The postoperative intracranial pressure between the two groups:no statisitically significant difference (P> 0.05).Conclusion:Compared to traditional method with large bone flap craniotomy, craniotomy with small bone flap approach microsurgical not only has precise hemostasis and effective decompression, but also has the advantage of smaller invasive, shorter operation time, better protection of normal brain tissue, and smaller skull defect, and no need of second repair and so on. Craniotomy with small bone flap approach microsurgical treatment for gradeâ…¢-â…£hypertensive basal ganglia region hemorrhage is exactly an effective and safty method.