Drill hole drainage under local anesthesia in the treatment of moderate cerebral hemorrhage in the base block

Abstract

Objective To explore the clinical characteristics and efficacy of minimally invasive drilling and drainage under local anesthesia in the treatment of moderate cerebral hemorrhage in the basal ganglia area. Methods A retrospective analysis was conducted on 50 patients with moderate cerebral hemorrhage (<50 mL) in the basal ganglia area who were admitted to our hospital from June 2019 to June 2020. They were divided into small bone window craniotomy group and drilling drainage group according to different surgical methods. There were 25 cases in each group, and the hematoma clearance rate, hospitalization time, postoperative complications, neurological recovery and other indicators were recorded in the two groups. Results There was no significant difference in mortality rate, postoperative rebleeding rate, intracranial infection rate and Glasgow Coma Scale (GCS) score between the two groups (P>0.05). Hematoma clearance rate, operation time, hospitalization time, postoperative ICU stay time, pulmonary infection rate, tracheotomy rate, and modified Rankin Scale (m RS) score ≤ 2 1 year after surgery in the drilling group and craniotomy group There was a statistically significant difference between the proportions (P<0.05). Conclusion Minimally invasive drilling and drainage under local anesthesia is as safe and effective as craniotomy for the treatment of moderate cerebral hemorrhage in the basal ganglia area, without increasing the risk of re-bleeding and intracranial infection, and the patient's postoperative pulmonary infection rate and tracheotomy rate are higher. Low, shorter hospital stay, and better long-term neurological recovery. [International Journal of Neurology and Neurosurgery, 2021, 48(6):534-537