Clinical analysis of microinvasive puncturatio drainage in treating supratentorial spontaneous intracerebral hemorrhage

Abstract

Objective To compare the curative effect of microinvasive puncturatio drainage and conservative treatment on supratentorial spontaneous intracerebral hemorrhage. Methods Retrospectively study was performed on 173 patients with supratentorial spontaneous intracerebral hemorrhage (amount of bleeding 20-40 mL) from January 2014 to June 2017. They were divided into microinvasive puncturatio drainage group and conservative medical treatment group. Blood loss on admission, GCS score on admission, remaining hematoma volume after 7 d of admission, GCS score after 7 d of admission, and GOS score after 3 months of admission for the patient between those two groups were recorded. Results There were death cases in both groups, but the short-term mortality had no significant difference(P>0.05). The effect of microinvasive puncturatio was drainage statistically different(P<0.05) to the effect of conservative treatment on the remaining hematoma volume and GCS score after 7 d of admission, length of hospital stay. The GOS score of microinvasive puncturatio drainage was higher than conservative treatment group, after three months of admission (P<0.05). Conclusion Microinvasive puncturatio drainage is prior to conservative treatment in the treatment of spontaneous intracerebral hemorrhage in several aspects, such as it can obviously optimize neurological function and improve the prognosis to patients. Key words: Microinvasive puncturatio drainage; Supratentorial spontaneous intracerebral hemorrhage; Stereotactic aspiration and drainage