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Surgical Research and New Technique ›› 2021, Vol. 10 ›› Issue (4): 284-286.doi: 10.3969/j.issn.2095-378X.2021.04.011

• Original article • Previous Articles     Next Articles

Curative effect of directional drilling and puncture hematoma removal on hypertensive brainstem hemorrhage

XIAO Lianfu, ZHOU Xihan, HUANG Chenming, LIU Qiong   

  1. Department of Neurosurgery, Sanming Second Hospital, Sanming 366000, Fujian, China
  • Received:2021-04-02 Online:2021-12-28 Published:2022-08-22

Abstract: Objective To observe the effect of directional drilling and puncture hematoma removal on hypertensive brainstem hemorrhage. Methods A total of 160 patients with hypertensive brainstem hemorrhage from January 2017 to February 2021 were enrolled and randomly divided into a study group (n=80, who received directional drilling and puncture hematoma removal) and a control group (n=80, who received traditional craniotomy hematoma removal). After 6 months of treatment, the effects of the two groups were observed. Results Before treatment, there were no significant differences in NIHSS score and MMSE score between the two groups (P>0.05). After treatment, the NIHSS score and the MMSE score of the study group were significantly higher than those before treatment (P<0.05), and were significantly higher than those of the control group (P<0.05). The total effective rate of the study group was significantly higher than that of the control group (P<0.05). Conclusion Directional drilling and puncture hematoma removal in the treatment of hypertensive brainstem hemorrhage can significantly improve the neurological function and intellectual cognition level of patients, and the prognosis is good.

Key words: Directional drilling, Puncture, Hematoma removal, Hypertension, Brainstem hemorrhage

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