Clinical study on moderate thalamic hemorrhage without acute hydrocephalus
Cao Yukui
Abstract：Objective To investigate the clinical efficacy of temporal frameless stereotactic thalamic hematoma puncture and drainage in the treatment of moderate thalamic hemorrhage without acute hydrocephalus.Methods The clinical data of 81 patients with moderate thalamic hemorrhage without acute hydrocephalus were analyzed retrospectively.Among them,31 patients underwent temporal frameless stereotactic thalamic hematoma puncture and drainage(puncture group),while 50 patients received non-surgical treatment(conservative group).The clinical outcomes of the two groups were compared.Results There were no statistically significant differences between the two groups in terms of age,gender,proportions of hypertension and diabetes,use of anticoagulants,Glasgow coma scale(GCS)scores at admission,incidence of ventricular rupture,thalamic hematoma volume,incidence of pulmonary infection,laterality of hemorrhage,and incidence of hydrocephalus within 3 months of treatment(all P>0.05).The hematoma evacuation time and hospital stay were significantly shorter in the puncture group compared to the conservative group,with statistically significant differences(P<0.05).Furthermore,the modified Rankin scale(mRS)scores at 3 months after treatment were lower in the puncture group,indicating a statistically significant improvement in prognosis compared to the conservative group(P<0.05).Conclusions Temporal frameless stereotactic thalamic hematoma puncture and drainage for moderate thalamic hemorrhage without acute hydrocephalus can effectively evacuate the thalamic hematoma within a short period,reducing hematoma evacuation time and hospital stay,and improving patient prognosis.
Keywords：cerebral hemorrhagethalamusstereotaxic techniquestranstemporalclinical efficacy
Publication Date：2024-07-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 420-423 )