World J Emerg Med, Vol 5, No 3, 2014
203
Original Article
Relationship between different surgical methods, hemorrhage position, hemorrhage volume, surgical timing, and treatment outcome of hypertensive intracerebral hemorrhage Feng-ling Chi1, Tie-cheng Lang2, Shu-jie Sun3, Xue-jie Tang4, Shu-yuan Xu5, Hong-bo Zheng 6, Hui-song Zhao7 1
Department of Neurosurgery, Shanghai 7th Hospital, Shanghai 200137, China Yueyang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China 3 Emergency Medicine Department, Dongfang Hospital of Shanghai, Shanghai, China 4 Second Hospltal of Dalian Medical University, Dlian, China 5 Shanghai Pudong New Area Gongli Hospital, Shanghai, China 6 First People's Hospital of Qiqihaer City, Heilongjiang Province, China 7 Third Affiliated Hospital, Qiqihar Medical College, Heilongjiang Province, China 2
Corresponding Author: Shu-jie Sun, Email: [email protected]
BACKGROUND: The present study aimed to explore the relationship between surgical methods, hemorrhage position, hemorrhage volume, surgical timing and treatment outcome of hypertensive intracerebral hemorrhage (HICH). METHODS: A total of 1 310 patients, who had been admitted to six hospitals from January 2004 to January 2008, were divided into six groups according to different surgical methods: craniotomy through bone flap (group A), craniotomy through a small bone window (group B), stereotactic drilling drainage (group C1 and group C2), neuron-endoscopy operation (group D) and external ventricular drainage (group E) in consideration of hemorrhage position, hemorrhage volume and clinical practice. A retrospective analysis was made of surgical timing and curative effect of the surgical methods. RESULTS: The effectiveness rate of the methods was 74.12% for 1 310 patients after onemonth follow-up. In this series, the disability rate was 44.82% 3–6 months after the operation. Among the 1 310 patients, 241 (18.40%) patients died after the operation. If hematoma volume was >80 mL and the operation was performed within 3 hours, the mortality rate of group A was significantly lower than that of groups B, C, D, and E (P
203
Original Article
Relationship between different surgical methods, hemorrhage position, hemorrhage volume, surgical timing, and treatment outcome of hypertensive intracerebral hemorrhage Feng-ling Chi1, Tie-cheng Lang2, Shu-jie Sun3, Xue-jie Tang4, Shu-yuan Xu5, Hong-bo Zheng 6, Hui-song Zhao7 1
Department of Neurosurgery, Shanghai 7th Hospital, Shanghai 200137, China Yueyang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China 3 Emergency Medicine Department, Dongfang Hospital of Shanghai, Shanghai, China 4 Second Hospltal of Dalian Medical University, Dlian, China 5 Shanghai Pudong New Area Gongli Hospital, Shanghai, China 6 First People's Hospital of Qiqihaer City, Heilongjiang Province, China 7 Third Affiliated Hospital, Qiqihar Medical College, Heilongjiang Province, China 2
Corresponding Author: Shu-jie Sun, Email: [email protected]
BACKGROUND: The present study aimed to explore the relationship between surgical methods, hemorrhage position, hemorrhage volume, surgical timing and treatment outcome of hypertensive intracerebral hemorrhage (HICH). METHODS: A total of 1 310 patients, who had been admitted to six hospitals from January 2004 to January 2008, were divided into six groups according to different surgical methods: craniotomy through bone flap (group A), craniotomy through a small bone window (group B), stereotactic drilling drainage (group C1 and group C2), neuron-endoscopy operation (group D) and external ventricular drainage (group E) in consideration of hemorrhage position, hemorrhage volume and clinical practice. A retrospective analysis was made of surgical timing and curative effect of the surgical methods. RESULTS: The effectiveness rate of the methods was 74.12% for 1 310 patients after onemonth follow-up. In this series, the disability rate was 44.82% 3–6 months after the operation. Among the 1 310 patients, 241 (18.40%) patients died after the operation. If hematoma volume was >80 mL and the operation was performed within 3 hours, the mortality rate of group A was significantly lower than that of groups B, C, D, and E (P
