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Comparison of the therapeutic effect between open craniotomy and aspiration by drilling cranium for basal ganglia hemorrhage in 136 cases

WANG Hong dian, JIANG Wen, WAN Qi, LIU Yi, ZHANG Guang yun (Department of Neurology, Xijing Hospital, Fourth Military Medical University, Xi'an 710033, China)  
Objective To compare the safety and the effectiveness of surgical treatment between open craniotomy and aspiration by drilling cranium for intracerebral hemorrhage in the basal ganglia. Methods Medical history and CT scans of 136 inpatients with intracerebral hemorrhage in the basal ganglia subjected to surgical treatment were retrospectively reviewed. The safety and the effectiveness between two surgical treatments were compared by statistical analyses. Results Among 136 patients with intracerebral hemorrhage in the basal ganglia, 30 patients were treated with open craniotomy, and 106 patients were subjected to aspiration by drilling cranium. Risk factors affecting prognosis, such as age, hemorrhage size, initial level of consciousness and so on, were comparable in both groups. There was no significant difference in the safety and the effectiveness between two surgical treatments ( P 0.05). Conclusion Surgical treatment by open craniotomy for intracerebral hemorrhage in the basal ganglia do not excel aspiration by drilling cranium in the safety and aspiration by drilling cranium effectiveness.
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