Applications Of Removing Hematoma Through Small Skull Window And Of CT Guided Aspiration In The Treatment Of Hypertensive Intracerebral Hemorrhage

Objectives: To compare the curative effect of removing hematoma through small skull window and that of CT guided aspiration in the treatment of hypertensive intracerebral hemorrhage (HICH)happen up the tentorium of cerebellum.Methods: Group 1 (Removing Hematoma through Small Skull Window): 31 patients with HICH who were admitted to the Nith Hospital of Guang xi Medical University from January 2006 to October 2007 were removed hematoma through small skull window. Group 2 (CT Guided Aspiration): 37 patients with HICH who were admitted to the Ninth Hospital of Guang xi Medical University at the same time were drained the haematoma by CT guided aspiration. The clinical data of the patients were collected and analyzed.Results: The case fatality, GOS fineness rate and rehaemorrhage rate in small skull windows group were 16%, 48%, and 13% respectively. The case fatality, recent GOS fineness ratio and rehaemorrhage ratio of CT guided aspiration group were 38%, 35%, 11%. The case fatality of the small skull window group was lower than that of the CT guided aspiration group. As for the rehaemorrhage rate and the recent quality of life, there was no significant statistical difference between the two groups.Conclusions: The method of removing hematoma through small skull window can decrease the case fatality of the HICH patients whose hematoma happen in the Lobe of brain, especially whose volume of hematoma is no more than 60ml, while the case fatality of the two groups whose hematoma happen in the basal nuclei has no significant statistical difference. The two methods have no significant statistical difference in rehaemorrhage ratio, in improving the survivors' recent quality of life.