Clinical study of surgery in treatment of hypertensive intracerebral hemorrhage
10.3760/cma.j.issn.1008-6706.2011.06.026
- VernacularTitle:高血压脑出血外科治疗临床研究
- Author:
Wenfei HUANG
;
Qirui HUANG
;
Zuoguo GUO
;
Yueqiang LI
;
Wei CHENG
;
Yuan LI
- Publication Type:Journal Article
- Keywords:
Intracranial hemorrhage,hypertensive;
Neurosurgical procedures
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(6):776-777
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the choice and efficacy of surgury in treatment of hypertensive intracerebral hemorrhage. Methods The clinical data of 278 cases of hypertensive cerebral hemorrhage were retrospectively analyzed. These cases respectively used CT Stereotactic puncture and drainage, minimally invasive craniotomy and Craniotomy hematoma surgical treatment. According to the GCS cores and hematoma volume,they were divided into 3 groups so as to comparatively analyze the efficacy of different surgical methods. Results Hypertensive cerebral hemorrhage CT stereotactic puncture good prognosis group was 74 cases(59.6% ) ,minimally invasive craniotomy group of good prognosis ,48 cases(56.4% ) ,there was no significant difference between the two groups(P＞ 0.05). Craniotomy mortality is 15 cases (21.7% ). Conclusion Three surgical treatment of hypertensive cerebral hemorrhage had their own characteristics:CT stereotactic puncture and drainage characteristics with less trauma,faster recovery,timely and effectively discharge brain compression. It was a simple and effective treatment for hypertensive intracerebral hemorrhage. In many cases, CT sterotactic puncture and drainage could replace invasive hematoma evacuation.
