Abstract

Objective: To investigate the efficacy of new-type stereotaxic apparatus-assisted transfrontal puncture drainage in the treatment of hypertensive intracerebral hemorrhage in the basal ganglia. Methods: A retrospective analysis was performed on the clinical data of 60 patients with hypertensive intracerebral hemorrhage in the basal ganglia who received disposable new-type stereotaxic apparatus-assisted transfrontal insertion with soft tunnels for hematoma aspiration drainage in our hospital from August 2017 to September 2019. The treatment efficacy was analyzed. Results: All patients were successfully punctured at one time. The puncture surface was 5~6.5 cm on the basement plane, where the hematoma surface was the largest. The puncture angle was 10°~14°, and the puncture depth was 9~11.5 cm. Fifteen patients were operated within 6 h of hemorrhage, and the intraoperative hematoma clearance rate was about 25%; 40 patients were operated 6~24 h after hemorrhage, and the hematoma clearance rate was about 20%; 5 patients were operated one-3 d after hemorrhage, and the hematoma clearance rate was as high as 30%. The first postoperative re-check CT showed that 51 patients had ideal position of the drainage tube, 2 were too deep, one was too shallow, 2 were below the position, 2 were above the position, one was inside the position, and one was outside the position. The GCS scores of the patients on 3rd d of operation (9.88±3.998) were significantly higher than those of the patients before operation (6.24±3.159, P