关键词: 立体定向, 开颅手术, 高龄, 丘脑出血, 血肿清除

Abstract: Objective Stereotactic hematoma puncture and drainage and craniotomy were used to retrospectively analyze the results of thalamic hemorrhage in elderly patients. Methods The elderly patients with thalamic hemorrhage treated in our department from January 2015 to December 2019 were selected as the research objects.25 cases were randomly selected from the orientation group and 25 cases from the craniotomy group.The craniotomy group was treated with clearance of thalamic hematoma,and the orientation group was treated with stereotactic hematoma puncture and drainage.The operation time,hospital stay,GCS score before and 1 week after operation,good recovery rate and mortality were compared between the two groups. Results The operation time and hospital stay in the orientation group were significantly lower than those in the craniotomy group (P<0.05).One week after operation,the GCS score of the orientation group was significantly higher than that of the craniotomy group.The rate of good recovery and mild disability in the orientation group was 64.0%,which was significantly higher than that in the craniotomy group (36.0%),and the difference was statistically significant (P<0.05).There was no death in both groups. Conclusion Stereotactic technology is accurate,minimally invasive,fast,effective and safe.It is the first choice for the treatment of thalamic hemorrhage in elderly patients.

Key words: Stereotactic, craniotomy, Advanced age, Thalamic hemorrhage, Hematoma clearance