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Acta cirúrgica brasileira · Oct 2012
Comparative StudyComparison on different strategies for treatments of hypertensive hemorrhage in the basal ganglia region with a volume of 25 to 35 ml.
- Wei Zheng, Chunpu Zhang, Dapeng Hou, and Chunguang Cao.
- Department of Neurosurgery, Affiliated Hospital of Taishan Medical College, China. david200310@163.com
- Acta Cir Bras. 2012 Oct 1; 27 (10): 727-31.
PurposeTo compare curative effect of different treatments for hypertensive cerebral hemorrhage of 25 to 35 ml.MethodsIn this study, 595 cases were enrolled and grouped regarding treatments including conservative treatment, evacuation with microinvasive craniopuncture technique within 6h and 6-48 h after the attack.ResultsAfter follow up for three months after the attack, the assessment based on the Activity of Daily Living (ADL) indicated no significant difference among conservative treatment and surgical interventions (p>0.05). However, surgical interventions showed advantages of shorter hospitalization, quick removal of hematoma and obvious reduction of cost.ConclusionThe microinvasive craniopuncture technique to drain the hematoma within 6-48 h may be a good way in treating hypertensive hemorrhage of basal ganglia region.
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