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Minimally Invasive Surgery for Hypertensive Hematomas——A Prospective Randomized Multiple Centers Trial

Shanghai Neurosurgical Cooperation on Hypertensive Cerebral Hematoma Written by:ZHOU Liang Fu,PANG Li,Department of Neurosurgery, Huashan Hospital,Fudan University, Shanghai 200040  
Aim:To study the effects of minimally invasive operations on hypertensive intracerebral hematoma.Methods:This is a prospective and randomized study. Data were gathered from 11 hospitals. 105 cases were treated conservatively, and 144 cases were operated. The follow up one and six months after hospitalization were compared.Results:Surgery group had a better one month follow up than the conservative group ( P 0 001),while the one month death rate had no difference (12 cases and 11.4% in conservative group versus 13 cases and 9.0% in surgery group). Surgery group also had a better six months follow up than conservative group( P =0 006),while the six months death rate was also lower in the surgery group (4 cases,3.1% in surgery group versus 7 cases and 7.5% in conservative group, P =0 013).Conclusion:Minimally invasive srugery is an effective treatment of hypertensive intracerebral hematoma.
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