To investigate the effect of soft-channel-assisted micro-bone window craniotomy on the length of operation and skull defect area in patients with basal ganglia intracerebral hemorrhage (BGCH) and cerebral hernia.

94 cases of BGCH complicating by cerebral hernia in our hospital from February 2015 to March 2017 were divided into the observation group and the control group according to different surgical methods, 47 cases in each group. The control group was treated with large craniotomy for hematoma elimination, while the observation group was treated with soft-channel-assisted micro-bone window craniotomy. The operation and postoperative recovery (operative time, bleeding volume, skull defect area, length of hospital stay), and the incidence of complications of the two groups were compared.

Compared with the control group, the observation group had shorter operation time, less bleeding volume, smaller skull defect area, and shorter hospital stay (P<0.05). The incidence of postoperative complications in the observation group [2.13% (1/47)] was lower than that in the control group [17.02% (8/47)] (P<0.05).

Soft-channel-assisted micro-bone window craniotomy in the treatment of BGCH complicating by cerebral hernia has shorter operation time, less intraoperative bleeding, and smaller postoperative cranial defect area, and lower complication rate. It is helpful to promote early recovery after surgery, and shorten the hospitalization time.

Basal ganglia intracerebral hemorrhage; Cerebral hernia; Micro-bone window craniotomy; Soft-channel-assisted; Skull defect area