An analysis to compare the effects of stereotactic surgery and conservative medical treatment on hypertensive intracerebral hemorrhage

Objective To analyze the therapeutic effects of stereotactic surgery and conservative medical treatment in patients with hypertensive intracerebral hemorrhage.Methods The clinical data of 100 patients with hypertensive intracerebral hemorrhage who underwent stereotactic surgery(stereotactic surgery group) from June 2002 to October 2009 were retrospectively analyzed,and the result was compared with that of 80 contemporaneous patients with hypertensive intracerebral hemorrhage who received conservative medical treatment(medical treatment group).There was no significant difference of bleeding site,bleeding volume and state of consciousness on admission between two groups.Results The mortality rate of stereotactic surgery group was 21.0%,and of medical treatment group was 30.0%.The average hematoma absorption time in stereotactic surgery group was 4.8d,and that of medical treatment group was 15.1d.All of the surviving patients were followed-up for 6 months,the rate of cure and mild disability in stereotactic surgery group(37%) was significantly higher than that of medical treatment group(26%,P0.01),the rate of severe disability in stereotactic surgery group(23%) was significantly lower than that of medical treatment group(37%,P0.01),while there was no significant difference in the rate of moderate disability between the two groups(40% and 37%,respectively,P0.05).Conclusion Compared with conservative medical treatment,stereotactic surgery could decrease the mortality rate and improve the quality of life in patients with hypertensive intracerebral hemorrhage.