JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2017, Vol. 55 ›› Issue (5): 61-65.doi: 10.6040/j.issn.1671-7554.0.2016.1439

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Treatment of 68 cases of moderate volume of hypertensive intracerebral hemorrhage with free hand technique of minimally invasive puncture of the soft channel under CT orientation

WANG Weijun, ZHOU Ningquan, WANG Chao   

  1. Department of Neurosurgery, The Peoples Hospital of QianNan, Duyun 558000, Guizhou, China
  • Received:2016-11-04 Online:2017-05-10 Published:2017-05-10

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Abstract: Objective To explore the efficacy of mini-invasive surgical treatment of moderate volume of hypertensive intracerebral hemorrhage. Methods The clinical data of 158 cases of hypertensive intracerebral hemorrhage(20- 40 mL)treated during Nov. 2011 and June 2015 were retrospectively analyzed. Of all patients, 68 underwent minimally invasive surgery(mini-invasive group), and 90 received non-surgical treatment(non-surgical group). The patients were followed up for 1 month. The mortality, hematoma evacuation time, and score of National Institutes of Health Stroke Scale were compared between the 2 groups. Results The mortality was 2.90% in the mini-invasive group, and 16.88% in the non-surgical group, with significant difference between the 2 groups(P<0.05). The hematoma evacuation time was 5±2.1 days in the mini-invasive group, and 21±3.5 days in the non-surgical group, with significant difference between the 2 groups(P<0.05). One month after treatment, the NIHSS score in the mini-invasive group was significantly lower than that in the non-surgical group (P<0.01). Conclusion Mini-invasive surgical treatment of moderate volume of hypertensive intracerebral hemorrhage is reliable, with short hematoma evacuation time and low mortality.

Key words: Hypertensive intracerebral hemorrhage, Minimally invasive surgery, Computed Tomography, Free hand puncture, Soft channel technique

CLC Number: 

  • R743.34
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