Comparative study of operative timing and treatment effect of minimally invasive surgery for intracranial hematoma in hypertensive cerebral hemorrhage

【Objective】To study the relationship of operative timing and treatment effect of minimally invasive surgery for intracranial hematoma in hypertensive cerebral hemorrhage. 【Methods】170 patients with hypertension cerebral hemorrhage according attack to operation time were divided into group A 57 cases(8 h), group B 58 cases(8 h~24 h), group C 55 cases(24 h), three groups of patients were performed for removal of intracranial hematoma minimally invasive, Case fatality rate, hematoma clearance rate, postoperative 3 months neural functional recovery between three groups were compared. 【Results】There were no statistical difference of case fatality rate between three groups(P 0.05); Group A hematoma clearance rate(91.23%) was significantly higher than group B and C; After 3 months, group A nerve function defect score(20.9±4.6) was lower than that group B and C, group A mildly invalidism rate(60.38%) was significantly higher than group B and C, severe invalidism rate(18.87%) was lower than that group B and C(P 0.05).【Conclusions】Minimally invasive surgery for intracranial hematoma intracranial appeared to be an effective treatment with hypertensive cerebral hemorrhage, after onset 8 h surgical treatment help to improve hematoma clearance rate, promote the nerve functional recovery, improve the quality of survival.