Effect of small craniotomy microsurgery treatment on hypertensive cerebral hemorrhage

Abstract

Objective To investigate the effect of small craniotomy microsurgery treatment on hypertensive cerebral hemorrhage. Methods A total of 156 patients with essential hypertensive intracerebral hemorrhage were selected and divided into the control group and observation group randomly. The control group was treated by the traditional big bone flap craniotomy treatment, and the observation group was treated by small craniotomy microsurgery treatment. The clearance rate of hematoma, hematoma recurrence rate, mortality, postoperative complication rate and functional recovery were compared between the two groups. Results There was no significant difference between the two groups in hematoma clearance rate, recurrence rate or mortality (P>0.05). The postoperative complication rate of the observation group was 12.8%, which was significantly lower than that of the control group (P<0.05). After the follow-up of 6-12 months, the prognosis of activities of daily living in the observation group was 84.6%, which was significantly higher than that of the control group (P<0.05). Conclusions Small craniotomy microsurgical treatment can achieve similar clinical efficacy as compared with conventional craniotomy in the treatment of hypertensive cerebral hemorrhage, and reduce postoperative complication further and improve the long-term quality of life. Key words: Small craniotomy microsurgery; Hypertensive cerebral hemorrhage; Clinical effect