Comparison of the curative effects of minimally invasive trepanation and drainage and craniotomy for scavenging hematoma in the treatment of hypertensive cerebral hemorrhage

Objective To compare the curative effects of minimally invasive trepanation and drainage and craniotomy in the treatment of hypertensive cerebral hemorrhage.Methods 32 patients with hypertensive cerebral hemorrhage treated by minimally invasive trepanation in our hospital were chosen as observation group,and 32 patients with hypertensive cerebral hemorrhage treated by craniotomy at the same stage were chosen as control group.The clinical data of the two groups was analyzed retrospectively.Results There was no statistically significant difference of postoperative mortality between the two groups(χ2 = 0,P 0.05).The improvement of neurologic impairment at 6 months after operation in the observation group was better than the control group(P 0.05).The unfavorable prognosis of the observation group was 25.0%,which was significantly lower than the control group(59.4%),with highly significant difference(χ2 = 7.75,P 0.01).Conclusion The prognosis of minimally invasive trepanation and drainage is better than craniotomy for scavenging hematoma,which is worthy of clinical application.