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- W2380654885 abstract "Objective: To investigate the clinical efficacy of puncture and drainage for the treatment of spontaneous basal ganglia hematoma through a catheter at frontal region at different time windows, and its impact on brain edema thereof. Methods: According to the time window of surgery, a total of 113 patients with spontaneous basal ganglia hematoma were divided into three groups including ultra-early group (n=31, surgery started 6 h),early group (n=42, surgery started 6-24 h) and delayed group (n=40, surgery started 24-72 h). The differences in incidence of common complications, the evacuation rate of blood clots, the volume change of brain edema, neurological deficit scores (NIHSS) and long-term follow-up results were compared in three groups. Results: There were no significant differences in the incidence of common complications, residual hematoma volume, evacuation rate of blood clots and initial brain edema volume between three groups. Seven days after the ictus, the edema volume was significantly smaller in ultra-early group (6.6±4.8) mL and early group (8.2±5.9) mL compared with that of delayed group (15.8±15.4) mL (P 0.01). The scores of NIHSS after operation were significantly higher in ultra-early group (11.3±6.0) and early group (12.5±6.3) than that of delayed group (6.3±5.4) (P 0.01). Six months after treatment, there were significantly more favorable daily living (ADL) scores in ultra-early group and early group than that of delayed group (P 0.01). But there was no significant difference between the ultra-early and early groups in these variables. Conclusion: The puncture and drainage through a catheter at frontal region for the treatment of spontaneous basal ganglia hematoma could remove blood clot effectively. Early surgery could alleviate the degree of perihematomal edema, improve neurological outcome and reduce the possibility of rebleeding." @default.
- W2380654885 created "2016-06-24" @default.
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- W2380654885 date "2011-01-01" @default.
- W2380654885 modified "2023-09-24" @default.
- W2380654885 title "Clinical Research on Time Window of Puncture and Drainage of Spontaneous Basal Ganglia Hemorrhage through Frontal Approach" @default.
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