Clinical surgical treatment experience of small bone window in removing the frontal brain contusion and basal ganglia hematoma / 中国医师进修杂志

ABSTRACT

Objective To explore the surgical indication,key point and curative effect of small bone window in removing the frontal brain contusion and basal ganglia hematoma.Methods The clinical data of 118 patients with frontal cerebral contusion (38 cases) or basal ganglia hematoma (80 cases) were retrospectively analyzed,and the patients were given small bone window surgery.Results The postoperative curative effect was evaluated by daily life activities Barthel index.In 118 patients,56 cases (47.5％) were postoperative independent (Barthel index 100 scores),34 cases (28.8％) were mild dependence (Barthel index 75-95 scores),16 cases (13.6％) were moderate dependence (Barthel index 50-70 scores),10 cases (8.5％) were severe and totally dependence (Barthel index 0-45 scores),and 2 cases (1.7％) were death.Conclusion Small bone window in removing the frontal brain contusion and basal ganglia hematoma has small trauma,fully removed lesions,shorter operation time,fewer complications,quicker recovery,no skull repair,and lower mortality and disability rate.