Clinical efficacy of different modes of operation in the treatment of hypertensive cerebral hemorrhage

Objective To explore the clinical efficacy of traditional big bone flap craniotomy evacuation of hematoma,craniotomy with small bone window craniotomy,hematoma aspiration in the treatment of hypertensive intracerebral hemorrhage.Methods Ninety-eight patients with hypertensive cerebral hemorrhage in the department of neurosurgery in our hospital were randomly divided into traditional large bone flap craniotomy group(group A,n=32),small bone window craniotomy group(group B,n=33),and hematoma aspiration group(group C,n=33).The indices of operation time,bleeding volume in operation,duration of hospitalization,the recovery of neurological function,postoperative complications in each group were comparatively analyzed.Results Compared with group A,the operation time,bleeding volume in operation,length of stay of B group and C group decreased significantly.After treatment,the postoperative recovery of neurological function of group B and group C improved significantly,and the recurrent hemorrhage,stress ulcer,pneumonia,mortality of group B and group C was lower than that in group A.Conclusion Compared with the traditional big bone flap craniotomy evacuation of hematoma,craniotomy with small bone window craniotomy and hematoma aspiration in the treatment of hypertensive cerebral hemorrhage possess short hospitalization time,bleeding trauma and reduce the postoperative rebleeding rate,rescue patients and reduce the morbidity.The clinical curative effects are good and worthy of clinical application.