Analysis Of The Clinical Effect Of Visual Hard Channel Technique In The Treatment Of Hypertensive Cerebral Hemorrhage In Basal Ganglia Region

Objective: This study aims to prove the feasibility and practicability of visualized hard channel technology in the treatment of hypertensive cerebral hemorrhage in basal ganglia region,and to master the clinical advantages and disadvantages of visualized hard channel technology in the treatment of hypertensive cerebral hemorrhage in basal ganglia region.Methods: The research collected 87 cases of hypertensive cerebral hemorrhage in basal ganglia from June 2013 to December 2017 in the hospital where the author was admitted for retrospective analyses.According to the surgical methods,the patients were divided into endoscopic group(24 cases),drainage group(31 cases)and microscopy group(32 cases)respectively.The research tried to analyze and compare the differences among the three groups in operation time,intraoperative blood loss,hematoma clearance rate,length of stay in hospital and postoperative complications.Results: There were not any significant differences among the three groups in preoperative general clinical data,total hospital stay,intraoperative blood loss,postoperative GCS score andpostoperative complications(P>0.05).Compared with the two groups,the clearance rate of hematoma in the endoscopic group(94.19±13.97%)was significantly higher than that in the drainage group(64.43±19.29%)and the microscopic group(73.45±19.41%),with the significant difference(SD)being statistically significant(P<0.05).The operative time of the drainage group(96.61±34.96min)was significantly shorter than that of the endoscopic group(168.5±33.47min)and the microscopic group(245.47±82.96min),and the operative time of the endoscopic group(168.5±33.47min)was also significantly shorter than that of the microscopic group(245.47±82.96min),with statistically significant differences(P<0.05).The intraoperative blood loss of the drainage group(248.81±70.41ml)was significantly lower than that of the endoscopic group(304.38±84.25ml)and the microscopic group(393.78±131.03ml),and the intraoperative blood loss of the endoscopic group(304.38±84.25ml)was also lower than that of the microscopic group(393.78±131.03ml).The difference was statistically significant(P<0.05).In the follow-up of patients' long-term and short-term prognosis,the endoscopic group was better than the other two groups,but the difference among the three groups was not statistically significant(P>0.05).Conclusion: Visual hardware channel technology can not only be the efficient removal of intracranial hematoma but also reduce the intraoperative blood loss,the curative effect of treatment(30 ml to 60 ml)of the basal ganglia region hypertension cerebral hemorrhage is superior to traditional removal of intracranial hematoma,thus improving the basal ganglia region hypertension cerebral hemorrhage patients with postoperative self-care ability of daily life.