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| Effect of Small Bone Window Minimally Invasive Hematoma Removal on Hypertensive Cerebral Hemorrhage Patients |
| FU Bingqing |
| First-author's address: Beijing Aerospace General Hospital, Beijing 100071, China |
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Abstract Objective: To investigate the effect of small bone window minimally invasive hematoma removal on hypertensive cerebral hemorrhage (HCH). Method: A total of 120 patients with HCH admitted to 983 Hospital of PLA from August 2019 to August 2022 were selected and divided into small bone window group (62 cases) and craniotomy group (58 cases) according to different surgical methods. The clinical efficacy, hematoma clearance, neurological injury [national institutes of health stroke scale (NIHSS) score], daily living ability [Barthel index (BI)], surgical stress index [cortisol (Cor), norepinephrine (NE)] before and after surgery, the occurrence of postoperative complications of the two groups were compared. Result: There were no significant differences in total effective rate and hematoma clearance between the two groups (P>0.05). The NIHSS scores of the small bone window group were lower than those of the craniotomy group at 3 and 7 days after surgery, while the BI scores were higher than those of the craniotomy group (P<0.05). The levels of Cor and NE in two groups 1 day after surgery were higher than those before surgery, while the levels of Cor and NE in 3 days after surgery were lower than those 1 day after surgery, the levels of Cor and NE in small bone window group were lower than those in craniotomy group 1 day and 3 days after surgery (P<0.05). The incidence of postoperative complications in small bone window group was lower than that in craniotomy group (P<0.05). Conclusion: The clearance rate of hematomas in patients with HCH using small bone window minimally invasive hematomas is similar to that of craniotomy, but small bone window hematomas removal is more conducive to improving nerve damage and improving daily living ability of patients, and alleviating surgical stress, with a low incidence of postoperative complications.
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Received: 10 April 2023
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WEI Xiaobing,WEN Yiqi,LI Sumei,HU Yongzhen,LIU Yang,LONG Qingshan,HUANG Chutao,LIU Xidi. Effects of Neuroendoscopic Translateral Fissure Approach Hematoma Evacuation on Inflammatory Factors, Prognosis, Serum MMP-9 and GM-CSF in Patients with Hypertensive Intracerebral Hemorrhage[J]. 中国医学创新, 2023, 20(8): 5-9. |
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