Clinical Research Of Surgical Methods In The Treatment Of Hypertensive Intracerebrel Haemorrhage

Objective To evaluate and compare the effectiveness of different types of surgical therapy for patients with hypertensive intracerebral hemorrhage, and summarize the clinical experience.Methods A total of 60 cases with hypertensive intracerebrel hemorrhage hospitalized in Beihai 1st hospital from Oct 2007 to July 2009 were subjected in this study .They were divided into 2 groups according to operation method: Group I (n=30),receiving craniotomy with small bone flap via lateral fissure and Group II (n=30)receiving CT guided minimal invasive hematoma aspiration .All data were analyzed retrospectively.Result The case fatality, rehaemorrhage rate and the incidence of postoperative complication in group I were 13%,0%,30%respectively. The case fatality ,rehaemorrhage rate and the incidence of postoperative complication in group II were 25%,3.3%,39%. There was no significant statistical difference between the two groups. As for Their GOS fitneness and score of activities of daily living(ADL)were investigated during the 6 months'close follow up, GOS and ADL in group I is much higher than the other one.Conclusion To hypertensive cerebral hemorrhage in basal ganglion with operative indication,especially whose volume of hematoma is between 30-60ml,the microsurgery treatment by small skull fenestral is a safe and efective way.