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Analysis of surgical treatment of 126 cases of basal ganglia intracerebral haemorrhage

LI Xiao-wei(Department of Neurosurgery, Harrison International Peace Hospital, Hengshui 053000)  
Objective To explore the operative approaches for treating basal ganglia intracerebral haemorrhage caused by severe hypertension. Methods 126 patients with basal ganglia intracerebral haemorrhage caused by severe hypertension. The volume of bleeding was over 50 ml and patients were divided into 3 groups randomly. They were treated with puncture drainage(A group), craniotomy evacuation of hematoma (B group) and puncture drainage as well as craniotomy evacuation of hematoma (C group) respectively. The efficacy of these three groups were compared. Results The total effective rates of group A, B and C were 41.46%(17/41), 55.81%(24/43) and 85.71%(36/42) respectively. The difference between group A and B was not significant(P0.05),the difference between group C and A was statistically significant (P0.01), the difference between group C and B was significant (P0.01); the mortality of group A, B and C was 36.59%(15/41), 18.60%(8/43) and 9.52%(6/42) respectively. The difference between group A and B was significant(P0.01),the difference between group A and C was significant (P0.01), and the difference between group B and C was significant(P0.01). Conclusions The puncture drainage as well as craniotomy evacuation of hematoma are better approaches for basal ganglia intracerebral haemorrhage caused by severe hypertension.
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