Clinical application of a new tape brain retractor

Xu Zhijian; Yang Song; Yin Yuhua; He Yuchao; Fu Xianhua; Zhou Jing

doi:10.11850/j.issn.1009-122X.2017.03.009

Abstract：Objective To study the application of NY-type tubular brain retractor in craniotomy for deep brain lesions. Methods Clinical data of 53 patients undergoing craniotomy were analyzed retrospectively, and the patients were divided into hypertensive cerebral hemorrhage (HCH) group (n = 29) and brain tumor group (n = 24) based on the disease categories. Then each group was subdivided into brain retractor group and control group. NY-type tubular brain retractors were used in the brain retractor group, while traditional brain retractors were used in the control group. The tumor resection rate, hematoma evacuation rate, GOS Scores and KPS Scores were compared postoperatively between the two groups. Results In brain tumor group, there was no significant difference in tumor resection rate between the brain retractor group and control group (P>0.05), while the former group had better postoperative KPS scores (P<0.05). In HCH group, there was no significant difference in hematoma evacuation rate between the brain retractor group and control group (P>0.05), but the former group had better GOS scores (P<0.05). And the incidence rates of complications in the brain retractor subgroup were lower than those in the control group respectively in the HCH group and the brain tumor group (P<0.05). Conclusions The NY-type tubular brain retractor has fewer postoperative complications and better prognosis in craniotomy for deep brain lesions, and its operation is easy and convenient, being worth to be popularized in clinical application.