A Comparative Study Of Surgical And Conservative Therapeutic Effects In Adult Deep Supratentorial Intracerebral Hematomas

Objective:To compare the efficacy between the standardized surgical treatment and the conservative treatment in adult deep supratentorial intracerebral hematomas (The volume of the hematoma is more than 30mL while the distance from the cerebral cortex is more than 1cm).Methods:A retrospective trial was undertook from January 2013 to June 2014. All the cases with hypertensive intracerebral hemorrhage were devided into surgical (55 cases) and conservative group (57 cases). The statistic analysis was processed to compare the mortality, long-time outcome, and the incidence of associated complications of each group.Results:The mortality rates within 3 weeks and 3 months of the surgical group were 5.5% and 16.36% while of the conservative group were 17.6% and 36.8%. The early mortality of the surgical group was lower than that of the conservative group with significant differences (P<0.05). To compare the clinical curative effects which were followed up 3 months, the GOS, mRS and the adverse outcomes of the surgical group were superior to the conservative group(P<0.05). The complication rates in surgical and the conservative group were 20.0%and 36.8%. The patients with complications in the two groups were 5.0 and 3.9 times as much as that of the patients without complications respectively.Conclusion:To improve the long-time outcome, reduce the early mortality and the complication rate, the surgical therapy is superior to the conservative treatment in deep supratentorial intracerebral hematomas.