Treatment Options Of Critical Mass Of The Basal Ganglia Intracerebral Hemorrhage: Control Study Of Minimally Invasive Puncture Vs Conservative Treatment

Objectives:To compare the curative effects of different methods in treating cerebral hemorrhage between25ml to35ml in volume:Non-surgical conservative treatment、6-72h minimally invasive puncture.Methods:The subjects are the50consecutive ICH patients treated in our division from April2007to April2011. All the cases were divided into micro-invasive (treated with the minimally invasive clot aspiration and fibrinolysis) and the conservative group (treated with the medical conservative approach) according to the will of the patient himself or the closest kin. The GCS score at a week after onset, the number of days of hospitalization,. Hematoma volume, hospital mortality were compared between micro-invasive and conservative group.Groups were analyzed by using Chi-square test, measurement data by t test analysis.Results:Patients were followed up3months after the attack. Assessment with Activity of Daily Living(ADL) indicated no significant difference between the cases with conservative treatment and minimally invasive puncture. But cases in the group with minimally invasive puncture took the advantages of higher GCS score, quick removal of the hematoma, and shorter days of hospital stay.Conclusions:Basal ganglia cerebral hemorrhage in critical volume (30±5) ml Hematoma for conservative treatment and minimally invasive puncture in the area oflong-term efficacy was no significant difference, as the combination of GCS score, length of stay, change of hematoma volume, et al, we believe that minimally invasive puncture within6-72h, a better approach for the treatment of intracerebral hemorrhage.