Study On The Treatment Of Hematoma With Samll-to-middle Volumes In The Thalamo-basal Ganglia Of Spontaneous Intracerebral Hemorrhages

Objective:To investigate the clinical prognosis of patients with small and medium-sized hematomas in the thalamobasal ganglia treated with stereotaxic assisted minimally invasive hematoma evacuation and conservative treatment alone.Methods:Eighty-seven patients with spontaneous thalamobasal ganglia cerebral hemorrhage,admitted to our hospital from March 2020 to June 2021,were enrolled in our study.Among them,5 patients who were lost to follow-up were excluded.These patients were randomly divided into surgical group(accepted minimally invasive hematoma removal assisted by stereotaxis technique,n=45)and conservative treatment group(n=42).The baseline general data and 6 months follow-up data of patients from the 2 groups were compared.The Glasgow outcome scale(GOS)scores,modified Barthel index(MBI),modified Rankin scale(m RS)scores and complications were compared 7 d,1 month and 6 months after surgery.Results:There were no significant differences in gender,age,and amount of bleeding between the 2 groups(P>0.05).On the 7th d of surgery,there were no significant differences in GOS scores,MBI,and m RS scores between the 2 groups(P>0.05).One month after surgery,there were statistically significant differences in GOS scores,MBI,and m RS scores between the 2 groups(P< 0.05);the good prognosis rate in the surgical group was66.67%(30/45),and that in the conservative treatment group was 30.95%(13/42),with significant difference(P<0.05).Six months after surgery,there were significant differences in GOS scores,MBI,and m RS scores between the 2 groups(P<0.05);the good prognosis rate in the surgical group was 88.89%(40/45),and that in the conservative treatment group was 50.00%(21/42),with significant difference(P<0.05).The incidence of complications in the surgical group and conservative treatment group was 8.89% and 30.95%respectively,with significant difference(P<0.05).Conclusion:Minimally invasive hematoma removal assisted by stereotaxis technique is more conducive to the repair of nerve function in patients with moderate to small cerebral hemorrhage in the thalamobasal ganglia than conservative treatment.