[Comparison of curative effect and analysis of influencing factors in patients with basal ganglion hemorrhage treated with traditional craniotomy and mini-invasive operation].
OBJECTIVE
To compare the curative effect of traditional craniotomy and mini-invasive operation on basal ganglion hemorrhage, and analyze influencing factors related to the differences.


METHODS
Fifty-five cases with basal ganglion hemorrhage according with the enrollment criterion of standardized treatment of hemorrhagic stroke were analyzed. Twenty-eight cases were treated with mini-invasive operation (mini-invasive group) and 27 cases with traditional craniotomy (craniotomical group). The evaluation indexes included postoperative complications, consciousness in 3 days and 2 weeks after operation, and activity of daily life (ADL) in 3 months after operation. SPSS 10.0 software was used for statistical analysis.


RESULTS
Three days after operation, 19 cases and 10 cases of abnormal consciousness were in craniotomical group and mini-invasive group, respectively (P<0.01). Seventeen cases had pulmonary infection and/or organ dysfunction in craniotomical group, and 11 cases in mini-invasive group (P<0.05). Three months after operation, 5 cases were in vegetable status and 3 died in craniotomical group, accounting for 29.6%, while 3 cases were in vegetable status and 2 died in mini-invasive group, accounting for 17.8% (P<0.05). No difference in ADL was found in the two groups with an exception of cases of vegetable status and death (>0.05).


CONCLUSIONS
mini-invasive operation makes the abnormal consciousness recover earlier, reduces complications, vegetable status and mortality and has no obvious effect on recovery of neurological function.
Pan
Jian-wei
JW
Department of Neurosurgery, First Affiliated Hospital of Medical College, Zhejiang University, Hangzhou 310003, Zhejiang, China. zjneurosurgery@yahoo.com.cn
Zhan
Ren-ya
RY
Tong
Ying
Y
Ma
Yue-hui
YH
D020145:Basal Ganglia Hemorrhage / Q000503:physiopathology / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D012189:Retrospective Studies; D016896:Treatment Outcome