Curative effects of neurosurgical and neurological treatment on severe basal ganglia hemorrhage

Abstract

Objective To compare the curative effects of neurosurgical and neurological treatment on severe basal ganglia hemorrhage, and to propose the operation indications. Methods One hundred cases according with JinGu level Ⅳ b and V were treated with operation or non⁃operation. All cases were accorded with the standard of hypertensive severe basal ganglion and thalamus hematoma level in CT imaging. SPSS 10.0 software was used for statistical analysis. Results The total case ⁃ fatality rate in operation group and non⁃operation group was 62%(62/100) and 92%(92/100), respectively (χ2 = 23.744, P = 0.000). The total case⁃fatality rate of Ⅲ -Ⅳ level in CT imaging group and Ⅰ -Ⅱ level in CT imaging group was 84.21% (32/38) and 48.39% (30/62), respectively (P = 0.000). The total case ⁃ fatality rate in craniotomy operation group and non ⁃craniotomy operation group was 54.41% (37/68) and 78.13% (25/32), respectively (χ2 = 7.920, P = 0.048). Conclusion Patients with JinGu level Ⅳ b of severe basal ganglia hemorrhage should be operated actively. Patients in JinGu level Ⅴ group should be operated cautiously referred with the following factors: age (< 60 years old); brain hernia occurrence time (onset time > 12 h); level in CT imaging (Ⅰ -Ⅱ level); systemic disease [no major visceral (heart, lung, liver, kidney) disease and diabetes].

DOI：10.3969/j.issn.1672-6731.2011.02.020