Effect of minimally invasive decompression on hypertensive intracerebral hemorrhage complicated with cerebral hernia

Objective To explore the therapeutic effect of minimally invasive decompression on hypertensive intracerebral hemorrhage complicated with cerebral hernia. Methods Selected from July 2012 to July 2017 to treat hypertensive intracerebral hemorrhage complicated with cerebral hernia 62 cases, the random table method was divided into control group in 31 cases and experimental group 31 cases, the control group was treated with craniotomy debridement and decompression combined with craniotomy, he experimental group was treated with minimally invasive puncture and drainage before decompression and removal of bone flap. The two groups of treatment time were compared with the time of pupil recovery, the duration of cerebral hernia and operation time. The GOS was used to evaluate the prognosis of patients. Results Pupil recovery time [(6.60±0.93) min], duration of cerebral hernia [(24.60±1.12) min] and operation time [(25.70±1.50) min] were significantly longer than the experimental group [(3.20±0.95) min, (16.70±1.34) min and (16.50±1.60) min, P<0.05]. GOS scale grade Ⅰ, Ⅱ and Ⅲ: patients number of control group were significantly more than experimental group (P<0.05); grade Ⅳ and Ⅴ: patients number of control group were significantly less than experimental group (P<0.05). The efficiency of the control group was significantly lower than the experimental group (58.1% vs. 83.9%, P<0.05). Conclusion Minimally invasive puncture and drainage before decompression and removal of craniotomy can shorten the patient's pupil recovery time, the duration of brain hernia and operation time, and significantly improve the prognosis of patients. Key words: Hypertensive; Cerebral hemorrhage; Cerebral hernia; Minimally invasive decompression; Hematoma clearance