Comparison of the curative effect between two kinds of minimally invasive surgical treatment of hypertensive basal ganglia hemorrhage rupturing into the ventricles of the brain

2009 
Objective To explore the clinical effects of two kinds for puncture and drainage hypertensive basal ganglia hemorrhage rupturing into the ventricles,which were the small bone window craniotomy with ventricle puncture and then drainage,and the method of YL-I-type needle aspiration with intraventricular hematoma puncture and then broken.Methods 86 cases of patients with hypertensive basal ganglia hemorrhage rupturing into the ventricles of the brain were divided into two groups according to GCS score,The clinical data of two groups of patients were retrospectively analyzed using two kinds of different surgical methods.Results Among the 40 cases of patients with GCS 8~12 points,some one in the group using YL-I type hematoma puncture and broken suction surgery, prognosis were better than the one in the group using the surgery of a small bone window craniotomy,the difference was significant(P0.05).Among the 46 cases with GCS5~7 points,except the time of operation and bleeding in the operation, there was no signiticant difference on the curative effect of the operation ,prognosisbut.Conclusions GCS score should be used as an important indicator as the choice for the treatment of the patients Hypertensive basal ganglia hemorrhage rupturing into the ventricles.When the GCS was ≥8,it had a good effect to use the YL-I-type needle puncture hematoma broken suction + ventricle puncture drainage.
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