Treatment of basal ganglia hemorrhage with laser-assisted transfrontal puncture

GUO Ziqiang; XUE ChangLi; LIANG Chundong; YAN Yan; ZHANG Haijun

Abstract：Objective To study the clinical application of laser-assisted trepanation and drainage through frontal puncture in the treatment of cerebral hemorrhage in basal ganglia.Methods 136 patients were randomly divided into a study group(laser-assisted transfrontal puncture for basal ganglia hemorrhage)(68 cases)and a control group(conventional transfrontal puncture for basal ganglia hemorrhage)(68 cases).A three stage comparison of related data was made between these two groups,first,the clearance rate of hematoma,surgical time,length of hospital stay,hospitalization costs,success rate of puncture procedure,postoperative rebleeding rate,intracranial infection rate of the tow groups,second,Glasgow Coma Scale(GCS)scores and National Institutes of Health Stroke Scale(NIHSS)scores before surgery,1 week after surgery,and 3 months after surgery,and finally quality of life scores(SF-36 Quality of Life Questionnaire)and daily living ability scores(using Barthel Index)before surgery and 3 months after surgery.Results There were no statistically significant differences in the incidence of intracranial infection,preoperative GCS scores,NIHSS score,quality of life scores,and daily living ability scores between the two groups(P>0.05).However,the study group had better outcomes compared to the control group in terms of hematoma clearance rate,operation time,length of hospital stay,hospitalization costs,puncture success rate,postoperative rebleeding rate,GCS scores and NIHSS scores at 1 week and 3 months after surgery as well as quality of life scores and daily living ability scores at 3 months after surgery(P<0.01).Conclusion Laser-assisted transfrontal puncture and drainage can be widely used on the treatment of basal ganglia hemorrhage as it has higher success rate in puncture,shorter operation time,lower rebleeding rate,shorter hospital stay,lower hospital costs,and better prognosis compared to conventional puncture treatment.