Treatment of intracerebral hematoma by minimal invasive surgery
XU Guoxiang, TAO Xuming, CHEN Yongpeng, CHEN Junmin, MENG Qiyong, ZHU Yi Department of Neurosurgery, Fifth Affiliated Hospital of Jinan University Medical College (Qingyuan People's Hospital), Qingyuan 511500, China
Objective To study the effectiveness and signiticance or minimal invasive surgery in (?) hematoma. Methods 189 patients with intracerebral hematoma were treated by aspiration and drainage with small hole puncture after CT localization. The hematoma clearance rate, recurrence rate, mortality and GOS of the operation were compared with those of craniotomy with bone flap. Results The hematoma clearance rate of minimal invasive surgery was 87.3 % and recurrence rate was 12.7 %; The good recovery plus moderate disability of GOS was 61.9% and the mortality was 13.3 %. These were significantly better than the results of craniotomy with bone flap (P0.01). Conclusion Treating intracerebral hematoma with minimal invasive techniques has the advantage of lower recurrence rate and better outcome.