Clinical experience of individual surgical therapy in hypertensive basal ganglia hemorrhage
| Autor: | Chun-Li An, Tian-Shu Lu, Jing-Yu Guan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Microsurgery medicine.medical_specialty Activities of daily living medicine.medical_treatment Neurosurgical Procedures Stereotaxic Techniques Surgical therapy Hematoma Fibrinolytic Agents Activities of Daily Living Outcome Assessment Health Care medicine Humans Combined Modality Therapy Aged Aged 80 and over Surgical approach business.industry Basal Ganglia Hemorrhage Middle Aged medicine.disease Surgery Hypertension Stereotaxic technique Female Neurology (clinical) business Basal ganglia hemorrhage |
| Zdroj: | Journal of Neurosurgical Sciences. 62 |
| ISSN: | 1827-1855 0390-5616 |
| Popis: | Background The aim of this article is to summarize the clinical experience stemming from the administration of different surgical therapies in hypertensive basal ganglia hemorrhage (HBGH) patients. Methods A series of 87 patients with HBGH who had received surgical therapy individually were enrolled in this study. The surgical therapies were stereotactic aspiration (SA), stereotactic aspiration plus fibrinolytic therapy (SA+F) and microsurgery with small bone window (MS), respectively. The outcomes of the patients were evaluated by evolution of hematoma evacuation, activities of daily living (ADL) scale, mortality and complications. Results We found that there was no significant difference in the 24-hour evacuation rate, mortality and complication rate among treated groups (P>0.05). Though patients in level III and level IV of ADL scores were significantly different among the three groups, the overall ADL scale result demonstrated a similar ADL result. Conclusions HBGH patients should be treated with an individualized surgical approach based on their condition and on the CT morphology of the hematoma. |
| Databáze: | OpenAIRE |
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