Efficacy evaluation of the hard-channel technique and transsylvian microsurgical operation in the treatment of basal ganglia haemorrhage
Objective To compare the efficacy and safety of the hard-channel technique and the transsylvian microsurgical operation in treating basal ganglia cerebral haemorrhage (BGCH).Methods Clinical data from 100 patients with BGCH treated at our hospital between February 2019 and May 2022 were analysed. Pa...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2544889 |
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| Summary: | Objective To compare the efficacy and safety of the hard-channel technique and the transsylvian microsurgical operation in treating basal ganglia cerebral haemorrhage (BGCH).Methods Clinical data from 100 patients with BGCH treated at our hospital between February 2019 and May 2022 were analysed. Patients were divided into two groups based on the surgical approach: the hard-channel group (n = 55) and the microsurgery group (n = 45). Intraoperative and postoperative outcomes were compared.Results The hard-channel group had a shorter surgery duration (32.37 ± 8.32 vs 197.14 ± 39.77 min, p < 0.001) and less intraoperative bleeding (3.59 ± 2.29 vs 247.62 ± 125.73 mL, p < 0.001) but a lower haematoma clearance rate (80.74% ± 13.19% vs 91.10% ± 6.47%, p < 0.001) than the microsurgery group. Postoperatively, the hard-channel group had a longer hospital stay (20.67 ± 11.96 vs 13.90 ± 4.65 days, p = 0.035), whereas no significant difference was observed in the incidence of complications (p = 0.079). The microsurgery group demonstrated better functional outcomes, with higher Glasgow Outcome Scale (GOS) and activities of daily living (ADL) scores at 1, 3 and 5 months as well as higher National Institutes of Health Stroke Scale scores at 1 and 3 months (p < 0.05).Conclusion The hard-channel technique was found to offer a shorter surgery duration and reduced intraoperative bleeding. The transsylvian microsurgical approach was associated with higher GOS and ADL scores at earlier time points (1 and 3 months), suggesting a potentially faster recovery. However, these differences were not sustained at 5 months. These findings highlight the need for individualised treatment decisions based on patient-specific factors and further studies to validate these observations. |
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| ISSN: | 0785-3890 1365-2060 |