Comparison of stereotactic and conservative treatment of supratentorial hypertensive intracerebral hemorrhage

Abstract

Objective To compare the effects of stereotactic hematoma evacuation and conservative treatment on the moderate amount of supratentorial hypertensive intracerebral hemorrhage(HICH). Methods The clinical data of 153 patients with HICH who had 25 to 40 ml of supratentorial hemorrhage were selected, including 90 cases of minimally invasive surgery (minimally invasive surgery group) and 63 cases of non-surgical treatment (conservative treatment group). The patients were followed up for 6 months. The complications and recovery were compared between the two groups. Results The incidence of pneumonia, hypoproteinemia and deep venous thrombosis in the minimally invasive surgery group was lower than that in the conservative treatment group (P 0.05). The time of hematoma clearance and hospitalization in the minimally invasive surgery group were less than those in the conservative treatment group (P 0.05). Conclusions The minimally invasive surgery for stereotactic hematoma removal has less complications than conservative treatment. The hematoma is cleared quickly and the damaged function is restored in early by the treatment. And it can improve the daily living ability of patients. Key words: Hypertension; Cerebral hemorrhage; Stereotactic; Conservative treatment