Comparison Of The Therapeutic Effects Of Transfrontal And Transtemporal Puncture And Drainage Assisted By Neuronavigation In The Treatment Of Hypertensive Basal Ganglia Cerebral Hemorrhage

Objective:To compare the efficacy of transfrontal and transtemporal puncture and drainage assisted by neuronavigation in patients with hypertensive basal ganglia cerebral hemorrhage and the degree of neurological impairment and recovery.Methods : A total of 60 patients with basal ganglia intracerebral hemorrhage hospitalized in the Neurosurgery Department of the First and second Clinical Medical College of Inner Mongolia University for Nationalities from September 2020 to December 2021 were selected for this study.All patients underwent navigation-guided puncture aspiration and drainage,including 30 patients with transfrontal puncture along the long axis of hematoma(transfrontal puncture group)and 30 patients with transtemporal puncture(transtemporal puncture group).NIHSS(National Institute of Health stroke scale)score,catheter indwelling duration,residual hematoma rate and bleeding rate of puncture channel before and after operation were recorded.Patients with acceptable conditions underwent head magnetic resonance examination,and diffusion tensor imaging and diffusion tensor fiber bundle imaging images were analyzed to quantify the damage and recovery degree of neurological function.Results:The indentation time of drainage tube in transfrontal puncture group was shorter than that in transtemporal puncture group,the difference was statistically significant(P <0.05).The residual hematoma rate of transfrontal puncture group was lower than that of transtemporal puncture group(P<0.05).The postoperative NIHSS score of the two groups was significantly lower than that before surgery,and the NIHSS score of the transfrontal puncture group was lower 10 days after surgery and 2months after surgery,the difference was statistically significant(P<0.05).The incidence of postoperative puncture channel bleeding was lower in the transfrontal puncture group,but there was no statistical difference between the two groups(P>0.05).In the transfrontal puncture group,diffusion tensor imaging and diffusion tensor fiber bundle imaging images at follow-up showed lower impairment of nerve function and better recovery.Conclusion: Transfrontal puncture and drainage assisted by neuronavigation has better efficacy in patients with hypertensive basal ganglia cerebral hemorrhage,and has a higher degree of improvement after nerve function injury,which is beneficial to patients’ recovery and improve their quality of life.