Treatment of little hypertensive cerebral hemorrhage of basal ganglia region by stereotactic puncture and drainage

Objective To investigate the therapeutic effect of CT-guided stereotactic minimal invasive drainage for little hypertensive cerebral hemorrhage of basal ganglia region. Methods One hundred and ten patients with little hypertensive cerebral hemorrhage of basal ganglia region which hospitalized in 251 hospital of PLA from January 2013 to December 2015 were selected, the amount of bleeding was 20-30 ml, divided into the operation treatment group and conservative treatment group according to the random number table method, 55 patients in each group. The operation treatment group was given CT-guided stereotactic minimal invasive and drainage treatment, after operation, poured urokinase into the hematoma to dissolved it. The conservative treatment group was given internal medicine treatment alone. Results The emptying time of hematoma of the operation treatment group [(5.40±0.87) d] was significantly shorter than the conservative treatment group[(22.07±2.79) d] (P=0.001). The average hospitalization days of the operation treatment group [(19.35±3.67) d] was significantly shorter than the conservative treatment group[(23.26±2.80) d](P<0.05). The ADL classification of the operation treatment group (81.82%) which six months after treatment was excelled than the conservative treatment group(58.18%)(P<0.05). Conclusion Thestereotactic minimal invasive and drainage for little hypertensive cerebral hemorrhage of basal ganglia region were effective, with little injury, shorter hospitalization, supernal security, which can relieved the stress to important nerval tissue and ease the progressive injury and promote rehabilitation of function in the early. Thestereotactic minimal invasive and drainage for little hypertensive cerebral hemorrhage of basal ganglia region is worthy for the clinical popularization and application. Key words: Cerebral hemorrhage; Hypertension; Basal ganglia region; Stereotaxis