To investigate the effect of supraorbital approach combined with lumbar cistern drainage and pterional approach in the treatment of acute intracranial anterior circulation ruptured aneurysm with hydrocephalus.

Forty-eight patients with ruptured anterior circulation complicated by hydrocephalus were admitted to Department of Neurosurgery of Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital from January 2017 to June 2019 were selected as the research objects. The patients were randomly divided into observation group (supraorbital approach surgery combined with lumbar cistern drainage) and control group (pterional approach surgery) with 24 cases in each group. The change time and surgery effect of clinical indicators in the two groups were evaluated. The memory, orientation, recall and language ability were evaluated according to the mini mental status examination (MMSE).

The operation time and hospitalization time of the observation group were shorter than those of the control group, and the differences were statistically significant (P<0.05). There was no significant difference in intraoperative blood loss between the observation group and the control group (P>0.05). Intraoperative superficial temporal artery injury and brain tissue pulling injury in the observation group were less than those in the control group, and the differences were statistically significant (P<0.05). The incidence of temporalis atrophy and postoperative hydrocephalus in the observation group were lower than that in the control group, and the differences were statistically significant (P<0.05). According to MMSE score, postoperative memory, orientation, recall ability and language ability of the patients in the observation group were all different from those in the control group (P<0.1); there was no significant difference in attention and computation ability between the observation group and the control group (P>0.1).

Supraorbital approach combined with lumbar cisterna drainage in the treatment of acute intracranial anterior circulation ruptured aneurysm with hydrocephalus can effectively reduce intraoperative cerebral contusion and postoperative complications, which is conducive to the rapid recovery of patients and improve the quality of life of patients.