Early Evaluation Of Motor Outcome Of HICH Patients With Different Surgical Methods By Using Diffusion Tensor Imaging (DTT) Technology

Objective:To early evaluate the postoperative motor outcome of hypertensive intracerebral hemorage(HICH) patients with side of the split-insular approach microsurgery and conventional hematoma evacuation by using DTT technology.Methods:HICH patients were performed by conventional craniotomy hematoma (41cases), or by the side of the split-insular approach for microsurgical surgery (23cases). One day after operation, CT scan was inspected; after two weeks, DTT was inspected; and after six months, Fugl-Meyer score was judged to evaluate the postoperative motor function.Results:Serious complications were not found. After two weeks, the numbers of CST in the conventional craniotomy hematoma group (58.4±22.1) was lower than that in the side of the split-insular approach for microsurgical operation group (t=2.694, P=0.009);After six months, the FM score in the conventional craniotomy hematoma group (74.3±22.2) was lower than that in the side of the split-insular approach for microsurgical operation group (84.5±13.7)(t=2.268, P=0.027); there is a high correlation between the numbers of CST after two months and FM score after six months of all the patients after two weeks of relative surplus ipsilateral number of entries (62.9±20.7) and six months after the (78.0±20.1) has (r=0.855, P<0.01).Conclusion:The patients with the side of the split-insular approach for microsurgical surgery can retain more CST numbers, which may be one of the reasons that patients treated with this method had better motor outcome after six months. DTT technology can make judgments of postoperative motor function in a short term. If this technology could be used in the early postoperative motor function prognosis, we can develop a reasonable postoperative rehabilitation program.