Object To study the therapeutic effects of stereotactic microimpact burr-hole drainage and conservative treatment for conscious patients of hypertensive cerebral hemorrhage in basal ganglia area. Methods The clinical data of 116 conscious patients with hypertensive cerebral hemorrhage in basal ganglia area from October 2013 to October 2016 were analyed retrospectively. Of116 patients,74 were treated with stereotactic microimpact burr-hole drainage with instillation of urokinase,and 42 received conservation treatment. compared between the two groups of the prognosis effect and 6 months follow-up recovery. Results In stereotactic group,the dissipation time of hematoma was significantly shorter（ P 0. 05）. 14 days of limb muscle recovery and 90 days Glasgow outcome scale score were significantly better than that of the conservative treatment group（ all P 0. 05）. Conclusion The therapeultic effect of stereotactic microimpact burr-hole drainage was significantly superior to the conservative treatment in conscious patients of hypertensive cerebral hemorrhage in basal ganglia area. It improves limb muscle recovery and worthy of clinical use.
Journal of Clinical Neurosurgery
hypertensive cerebral hemorrhage
not in a coma
basal ganglia area