Application value of minimally invasive drainage in hypertensive cerebral hemorrhage

Objective To explore the application value of minimally invasive puncture drainage in hypertensive cerebral hemorrhage. Methods Sixty-eight cases of hypertensive cerebral hemorrhage admitted to Langfang edburg Hospital Department of Neurosurgery from January 2015 to May 2016 were selected as the research objects, 36 cases of minimally invasive drilling drainage (minimally invasive group), 32 cases of bone flap craniotomy hematoma removal (craniotomy group). The operation effect, operation time, length of stay, and bleeding rate of the two groups were compared, and the prognosis were evaluated by GOS score, at the same time, nerve function defect score and daily life ability scale (ADL) were adopted to evaluate the recovery of neurological function and activities of daily living in the two groups before and after 3 months. Results The total effective rate of minimally invasive group was 91.67%, which was significantly higher than that of the 65.63% craniotomy group, the difference was statistically significant(P 0.05). The prognosis of minimally invasive group was 86.11%, compared with the craniotomy group of 56.25%, the difference was statistically significant(P<0.05). The neurological function defect scores of the two groups were significantly decreased, and the ADL score was significantly increased after 3 months, the difference was statistically significant (P<0.05). But the neurological function defect score and ADL score were significantly higher in the minimally invasive group than that in the craniotomy group, the difference was statistically significant(P<0.05). Conclusion Minimally invasive surgical treatment of hypertensive cerebral hemorrhage can effectively promote the recovery of neurological function, improve prognosis, the curative effect is exact and the safety is high. Key words: Minimally invasive drainage; Hypertensive cerebral hemorrhage; Removal of hematoma by craniotomy