Analysis Of Curative Effect Of Different Treatments Methods On Supratentorial Hypertensive Intracerebral Hemorrhage

Objective To explore the curative effect of different methods onsupratentorial hypertensive intracerebral hemorrhage(SHIH).Methods The volumes of the hematomas ranged from20to30ml in84patients with SHIH, who were divided into minimally invasivetreatment group A (n=36) and conservative treatment group (n=48). Thevolume of the hematomas ranged from31to60ml in57patients withSHIH, who were divided into minimally invasive treatment group B (n=31)and craniotomy group A (n=26). The volume of the hematomas rangedfrom61to100ml in73patients with SHIH, who were divided intominimally invasive group C (n=37) and craniotomy group B (n=36). Thecurative effects including the rate of the complications, rebleeding rate,GCS, GOS, Barthel index (BI) of activities of daily living and mortalitywere analyzed3weeks and6months after the treatment.Results There was no significant difference in the rate ofcomplications, rebleeding rate and mortality between each minimallyinvasive treatment group and the corresponding control group (P>0.05).The rate of improvement of the neurological function3weeks after the treatment and GOS and BI3weeks and6months after the treatment weresignificantly more superior in the minimally invasive treatment group Aand B respectively than that in the conservative treatment group andcraniotomy group A (P<0.05). There was insignificant difference in thecurative effects between minimally invasive treatment group C andcraniotomy group B (P>0.05).Conclusion The minimally invasive surgery was beneficial to theimprovements of the prognosis in patients with small and middle volume(20~60ml) hematoma induced by SHIH.