Basal Ganglia Region Analysis Of Surgical Treatment Of Hypertensive Cerebral Hemorrhage

Objective:Of basal ganglia region hypertension cerebral hemorrhage clinical treatment and follow-up study, explore the basal ganglia region hypertension patients with cerebral hemorrhage (40-70ml) the clinical curative effect of different treatments.Methods:Through the retrospective analysis first affiliated hospital of guangxi medical university neurology and neurosurgery in June 2012-October 2014 were diagnosed with basal ganglia region hypertension cerebral hemorrhage, aged 40-70 years old, the bleeding in the 40-70ml, no bleeding badly broken into the ventricle, no serious organic disease and blood coagulation dysfunction, in patients with cerebral hernia of clinical manifestations, imaging data and treatment. Comparison of two groups of patients before and after treatment 1 day, one week after the treatment and after treatment 6 month hematoma volume change, consciousness recovery, mortality and 6 months after treatment curative effect, and so on and so forth, analysis of curative effect of two groups.Result:Team (surgical treatment group),57 patients with the control group (treatment group) conservative 39 patients. In the two groups on admission situation (age, blood loss, GCS score), no statistical difference (P> 0.05).1. Have disease after 1 week, the team in patients with GCS score is significantly higher than the control group patients (P< 0.05). Confirmed that the operation treatment of basal ganglia region hypertension cerebral hemorrhage in the aspect of consciousness recovery is better than conservative treatment.2, surgical postoperative 1 week and 1 week after conservative treatment, the team hematoma volume decreased significantly than the control group patients, two groups of patients with hematoma volume change significant difference (P< 0.05). Showed that treatment of basal ganglia region hypertension cerebral hemorrhage surgery in the removal of hematoma is better than conservative treatment.3, team 9 cases of death, the death rate 15.79%, control group of 17 cases of death, the mortality rate of 43.59%. Significant difference between the two groups (P< 0.05), indicating that surgery compared with conservative treatment can significantly reduce the mortality.4, the team good prognosis of 35 cases (60.34%), control group 14 cases (35.90%) good prognosis. The significant difference between the two groups (P < 0.05). That team prognosis is better than the control group.Conclusion:Line through lateral fissure craniotomy hematoma removal treatment under a microscope the bleeding in the 40-70-ml, aged 40-70 between the basal ganglia of patients with hypertension cerebral hemorrhage curative effect is reliable, hematoma volume changes of the patients after treatment, recovering consciousness, mortality and six months curative effect is superior to conservative treatment.