Surgical Management Of Hypertensive Intracerebral Hemorrhage: A Comparison Of Endoscopic Management And Craniotomic Hematoma Evacuation

Objective To investigate and compare the therapeutic effect of the two surgical management below in hypertensive intracerebral hemorrhage(HICH), endoscopic management and craniotomic hematoma evacuation. Methods From January 2001 to May 2005, forty patients of HICH in our hospital underwent endoscopic management or craniotomic hematoma evacuation. The patients with intracerebral hematoma volume(ICH) ≤40ml and >40ml were divided into two groups. In each group, the therapeutic effect of the two surgical management was compared. Results In the group of ICH≤40ml, there was no difference in therapeutic effect between endoscopic management and craniotomic hematoma evacuation. But in the group of ICH>40ml, the outcome of craniotomic hematoma evacuation was better. Conclusion Endoscopic management might fit patients of HICH whose ICH was less than 40ml, but it should be less suitable than craniotomic hematoma evacuation in treating a bigger hematoma.