A Comparative Study on the Clinical Efficacy of Stereotaxic Catheter Drainage and Conservative Treatment for Small and Medium Amount Intracerebral Hemorrhage in the Basal Ganglia

Abstract

The incidence rate and fatal disability rate of cerebral hemorrhage increase year by year. At present, most patients with a hematoma volume of ≤20 mL are treated conservatively by internal medicine. With the development of the stereotactic technique, it has been widely used for the treatment of cerebral hemorrhage in clinics. This study compared the clinical differences between stereotactic surgery and conservative treatment for small- and medium-sized cerebral hemorrhages. The results show that stereotactic hematoma evacuation is more effective than conservative treatment in the treatment of medium and small intracerebral hemorrhages in the basal ganglia. It can accelerate the resolution of hematoma and improve the neurological function and quality of life of patients, which is worthy of clinical promotion and application.

Study of Intracranial Hematoma Removal and High Intracranial Pressure Reduction Using a Novel Three-Needle Brain Puncture Technique

“… 5 Brain stereotactic minimally invasive surgery is one of the popular surgical options for minimally invasive intracerebral hematoma removal. 8 , 9 However, it is still necessary to constantly improve the treatment strategy because timely removal of intracranial hematoma and reduction of ICP can reduce the risks for primary and secondary brain damages mentioned above.…”

“…5 Brain stereotactic minimally invasive surgery is one of the popular surgical options for minimally invasive intracerebral hematoma removal. 8,9 However, it is still necessary to constantly improve the treatment strategy because timely removal of intracranial hematoma and reduction of ICP can reduce the risks for primary and secondary brain damages mentioned above. In this study, the patients with supratentorial HICH of 30-70 mL, the preoperative "agreement to puncture" period is controlled in approximately 1 hour in the study group, and intracranial hematoma was removed using the two-needle minimally invasive stereotactic brain puncture procedure, an ICP sensor with a drainage tube (the third needle) was used to timely regulate the changes in ICP.…”