Easy Positioning Drilling Skull Drainage And Microsurgical Treatment Of Basal Ganglia Hemorrhage Comparative Study

Objective: To compare the simple positioning drill drainage and cranial hematoma under a microscope, minimally invasive treatment of hypertensive basal ganglia hemorrhage clinical efficacy and prognosis for hypertensive basal ganglia hemorrhage standardized therapy. Methods: Yan'an University Affiliated Hospital, neurosurgery within the past three years more than 80 cases of basal ganglia hemorrhage cases, the selected cases were randomly divided into simple groups and micro-drilling skull surgery group, observed after 3 days and 2 weeks of the state of consciousness and death, postoperative complications, long-term follow-up (6 months) clinical efficacy. Results: After 3 days in patients with disturbance of consciousness difference between the two groups was significant (P = 0.022), after 2 weeks in patients with disturbance of consciousness difference between the two groups was significant (P = 0.014), cranial drilling disturbance of consciousness among those patients , and have a higher mortality rate. Postoperative complications in patients with re-bleeding rate in which the difference between the two groups was significant (P = 0.026), drilling cranial bleeding patients have a higher incidence of complications, I was no significant difference (P = 0.982). Two sets of long-term follow-up (6 months) ADL comparison can be seen: drilling cranial group ADL1 ~ 3 Ji accounted for 43.6% (17 / 39), ADL4 ~ 5 Ji accounted for 56.4% (22 / 39); microscopic ADL1 ~ 3 Ji accounted for 65.9% (27 / 41), ADL4 ~ 5 Ji accounted for 34.1% (14 / 41). Between the two groups after 6 months, ADL (activity of daily life) the difference was significant (P = 0.045), micro-group a higher quality of life. The total mortality in patients with differences in the two groups was significant (P = 0.026), cranial drill team high fatality rate. Conclusion: After 3 days and 2 weeks in patients with disturbance of consciousness difference between the two groups was significant, drilling skull disturbance of consciousness among those patients. Postoperative complications in patients with re-bleeding rate in which the difference between the two groups was significant, drilling cranial bleeding patients have a higher incidence , there was no significant difference of other complications. Two sets of long-term follow-up after 6 months there was significant difference in ADL, micro-group a higher quality of life. The total mortality between the two groups was significant, drilling skull group have a high fatality rate. Hypertensive basal ganglia hemorrhage treatment, micro-surgery than easy positioning drilling skull drainage is a more effective method.