| Objective To evaluate and compare the clinical effect between a lobar hypertensive hematoma removal plus decompressive craniectomy group (DCgroup) and a lobar hypertensive hematoma removal group (HRgroup). Methods From October 2009 to June 2015, 31 consecutive supratentorial lobar intracerebral hemorrhage( ICH) patients who underwent microsurgery in our hospital were retrospectively analyzed. Supratentorial ICHs that exhibited a hematoma volume of over 30 mL were included in this study. We compared the DCgroup and the HRgroup with regard to age, sex, side, GCS, preoperative hematoma volume, shift from the midline, time from the ictus to surgery, hospitalization periods, and prognosis in three months after surgery, improved motor function, improved cognition after three months. Statistical analysis was accordingly conducted. Results Age, sex, side, GCS, preoperative hematoma volume, shift from the midline, time from the ictus, improved motor function, improved cognition were similar between two groups(P>0.05). Hospitalization periods increased in the DC group with statistical significance. The prognosisafter 3 months was better inthe HR groupthan in DC group with statistical significance(P<0.05). Conclusion Decompressive craniectomy is not necessary for rescue in lobar ICH if the hematoma can be removed completely. Surgical evacution of the hematoma might decrease the hospitalization and improve the patient's prognosis in three months after surgery. |
