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Efficacies of minimally invasive puncture and small bone window craniotomy for hypertensive intracerebral hemorrhage, evaluation of motor‑evoked potentials and comparison of postoperative rehemorrhage between the two methods

  • Authors:
    • Lei Luan
    • Maolei Li
    • Hang Sui
    • Guoliang Li
    • Wenyong Pan
  • View Affiliations / Copyright

    Affiliations: Department of Neurosurgery, Chengyang People's Hospital, Qingdao, Shandong 266109, P.R. China
    Copyright: © Luan et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 1256-1261
    |
    Published online on: December 13, 2018
       https://doi.org/10.3892/etm.2018.7094
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Abstract

Application value of the minimally invasive puncture and small bone window craniotomy in hypertensive intracerebral hemorrhage was investigated to explore the effects of the above treatment methods on motor‑evoked potentials (MEPs) and postoperative rehemorrhage. Patients with hypertensive intracerebral hemorrhage who were admitted to Chengyang People's Hospital from March 2016 to December 2017 were selected and randomly divided into the minimally invasive group (n=40) and the craniotomy group (n=40). The minimally invasive group was treated with minimally invasive puncture and drainage for hematomas, while the craniotomy group received small bone window craniotomy for evacuation of hematomas. The clinical efficacy was compared between the two groups. At 28 days after operation, the Chinese scale of clinical neurological deficit of stroke patients (CSS) score in the minimally invasive group was lower than that in the craniotomy group (p<0.05). At 28 days after operation, the S‑100β level in the minimally invasive group was lower than that in the craniotomy group (p<0.05). At 1 week after operation, 35 patients in the minimally invasive group were able to elicit MEP waveforms, and only 7 patients in the craniotomy group were able to elicit positive waveforms. At 2 weeks after operation, 40 patients in the minimally invasive group and 20 patients in the craniotomy group could elicit MEP waveforms, and the incubation period, central motor conduction time and amplitude in the former were significantly better than those in the latter (p<0.05). The operation time and length of hospital stay were shorter with more total expenses of hospitalization in the minimally invasive group compared to those in the craniotomy group (p<0.05). Compared with small bone window craniotomy, minimally invasive puncture can reduce serum S‑100β level. Its advantages are obvious, so it is worthy of promotion and application.
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Copy and paste a formatted citation
Spandidos Publications style
Luan L, Li M, Sui H, Li G and Pan W: Efficacies of minimally invasive puncture and small bone window craniotomy for hypertensive intracerebral hemorrhage, evaluation of motor‑evoked potentials and comparison of postoperative rehemorrhage between the two methods. Exp Ther Med 17: 1256-1261, 2019.
APA
Luan, L., Li, M., Sui, H., Li, G., & Pan, W. (2019). Efficacies of minimally invasive puncture and small bone window craniotomy for hypertensive intracerebral hemorrhage, evaluation of motor‑evoked potentials and comparison of postoperative rehemorrhage between the two methods. Experimental and Therapeutic Medicine, 17, 1256-1261. https://doi.org/10.3892/etm.2018.7094
MLA
Luan, L., Li, M., Sui, H., Li, G., Pan, W."Efficacies of minimally invasive puncture and small bone window craniotomy for hypertensive intracerebral hemorrhage, evaluation of motor‑evoked potentials and comparison of postoperative rehemorrhage between the two methods". Experimental and Therapeutic Medicine 17.2 (2019): 1256-1261.
Chicago
Luan, L., Li, M., Sui, H., Li, G., Pan, W."Efficacies of minimally invasive puncture and small bone window craniotomy for hypertensive intracerebral hemorrhage, evaluation of motor‑evoked potentials and comparison of postoperative rehemorrhage between the two methods". Experimental and Therapeutic Medicine 17, no. 2 (2019): 1256-1261. https://doi.org/10.3892/etm.2018.7094
Copy and paste a formatted citation
x
Spandidos Publications style
Luan L, Li M, Sui H, Li G and Pan W: Efficacies of minimally invasive puncture and small bone window craniotomy for hypertensive intracerebral hemorrhage, evaluation of motor‑evoked potentials and comparison of postoperative rehemorrhage between the two methods. Exp Ther Med 17: 1256-1261, 2019.
APA
Luan, L., Li, M., Sui, H., Li, G., & Pan, W. (2019). Efficacies of minimally invasive puncture and small bone window craniotomy for hypertensive intracerebral hemorrhage, evaluation of motor‑evoked potentials and comparison of postoperative rehemorrhage between the two methods. Experimental and Therapeutic Medicine, 17, 1256-1261. https://doi.org/10.3892/etm.2018.7094
MLA
Luan, L., Li, M., Sui, H., Li, G., Pan, W."Efficacies of minimally invasive puncture and small bone window craniotomy for hypertensive intracerebral hemorrhage, evaluation of motor‑evoked potentials and comparison of postoperative rehemorrhage between the two methods". Experimental and Therapeutic Medicine 17.2 (2019): 1256-1261.
Chicago
Luan, L., Li, M., Sui, H., Li, G., Pan, W."Efficacies of minimally invasive puncture and small bone window craniotomy for hypertensive intracerebral hemorrhage, evaluation of motor‑evoked potentials and comparison of postoperative rehemorrhage between the two methods". Experimental and Therapeutic Medicine 17, no. 2 (2019): 1256-1261. https://doi.org/10.3892/etm.2018.7094
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