Treatment of hypertensive cerebral hemorrhage by micro-invasive stereotaxis technique: clinical analysis of 33 cases

Abstract

Objective To investigate operation time of hypertensive cerebral hemorrhage drawed by minimally Invasive stereolaxis technique. Methods 33 patients, with hypertensive cerebral hemorrhage drawed by minimally invasive stereotaxis technique, were analyzed retrospectively, and divided into several groups by operation time, and investigated the relation of the groups with treatment outcome. Results The better operation time of drawed by minimally invasive stereotaxis technique was 6～24 hours after hypertensive cerebral hemorrhage. The incidence of rehaemorrhagia was very high when patients with hypertensive cerebral hemorrhage were operated by stereotaxis in 6 hours, however, the prognosis of patients operated during 6～24 hours was efficient, with lower incidence of rehaemorrhagia, neurologic residual and complication, the serious residual would be remained after 24 hours when operation.Conclusions More advantages were produced by stereotaxis technique to hypertensive cerebral hemorrhage, which was profitable for trauma, rehabilitation and complication, and the optimal time was 6～24 hours after hypertensive cerebral hemorrhage, and the patient which volume of hematoma in excess of 60ml can be operated, especially. Key words: Hypertensive cerebral hemorrhage; Stereotaxis; Operation time; Volume of hematoma; Minimally Invasive