Minimally invasive surgery guided by CT based homemade cranial locator for hypertensive cerebral hemorrhage in the basal ganglia region
Li Yuan
Huang Qirui
Huang Wenfei
Cheng Wei
Song Qin
Peng Qiaojing
Luo Wenbo
Abstract：Objective To investigate the clinical efficacy of the minimally invasive surgery guided by CT-based homemade cranial locator (CTL) for hypertensive cerebral hemorrhage (HCH). Methods Clinical data of 352 patients with HCH in the basal ganglia region were analyzed retrospectively. Minimally invasive surgery guided by CTL was performed in 138 patients (location group), hematoma evacuation by traditional bone flap craniotomy in 87 patients (bone flap group) and hematoma evacuation by a small bone window craniotomy in 127 patients (bone window group). The surgical outcomes of the three methods were compared. Results There was a statistical significance in hematoma residual quantity and hematoma evacuation rate between the three groups (P< 0.05). The least hematoma residual quantity, the highest hematoma evacuation rate and the lowest mortality rate were found in the location group. However, there was no significant statistical difference in rebleeding rate between the three groups (P>0.05). Significant difference was found in the ADL grade at 6 months after surgery between three groups (P<0.05), and the prognosis was best in the location group. Conclusion The minimally invasive surgery guided by CTL is an effective and simple operation for moderate cerebral hemorrhage in the basal ganglia region, and fit for primary hospital.
Keywords：intracranial hemorrhagehypertensivehomemade cranial locatordrainage
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 109-111 )