基层医疗中立体定向手术治疗高血压脑出血的应用体会

Abstract: Objective To explore the application effect of stereotactic surgery in the treatment of hypertensive cerebral hemorrhage with a bleeding volume of about 30 mL in primary medical care. Methods From January 2022 to January 2025, 60 patients with hypertensive cerebral hemorrhage in our hospital were selected and randomly divided into a control group and an observation group, with 30 cases in each group. The control group was treated by traditional craniotomy, while the observation group was treated by stereotactic surgery. Results The observation group was superior to the control group in operation time, intraoperative blood loss and hospitalization time (P＜0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (P＜0.05). The recovery of neurological function in the observation group was better than that in the control group (P＜0.05). Conclusion Stereotactic surgery has the advantages of less trauma, faster recovery and fewer complications in the treatment of hypertensive cerebral hemorrhage with a bleeding volume of about 30 mL, which is worth popularizing in primary medical care.