Clinical Study Of Micro-traumatic Hematoma Cleaning Operation For Hypertensive Intracerebral Hemorrhage

Now hypertensive cerebra hemorrhage has high rate of incidence, disability and mortality in China, which lacks the effective therapy. Early operation may be effective. The majority opinion is that the operation is necessary in patients with biggish hemorrhage volume, trend of brain hernia, hemorrhage above cerebella curtain with continuous deteriorative condition after medical treatment and cerebella hemorrhage above 10ml needing operation. With the development of technology, there are many operating method, which have own advantages and disadvantages. Now more and more neurosurgeon prefer to micro-invasive operation, which achieve some efficacy. There are still many unclear issue in the treatment of hypertensive cerebral hemorrhage about surgical therapy in its advantages, selection of surgical opportunity.Objective:To evaluate the advantages of minimally invasive evacuation of hematoma for treatment of hypertensive intracerebral hemorrhage.Methods:44 cases in group-A received conservative medical treatment,44 cases in group-B received craniotomy based on medical treatment and 43 cases in group-C received minimally invasive evacuation based on medical treatment. The effective rate, mortality and neurological deficit scale of three groups were compared, and statistical data were processed with chi-square test.Results:The effective rate and mortality in group-C were 93.02% and 2.33%, respectively, which was significantly different from that in group A (40.91% and 22.73%, respectively, P<0.05) and group B (59.09% and 11.36%, respectively, P< 0.05).Conclusion:The minimally invasive evacuation of hematoma can improve the effective rate, decrease the mortality and promote the recovery of neurological function in the treatment of hypertensive intracerebral hemorrhage.