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Differentiated surgical treatment of patients with hypertensive intracerebral hematomas
Mansur Agzamov, Istam Agzamov, Valery Bersnev, Natalia Ivanova
Language English Country Czech Republic
- MeSH
- Drainage methods utilization MeSH
- Endoscopy MeSH
- Fibrinolysis MeSH
- Glasgow Outcome Scale MeSH
- Hematoma therapy MeSH
- Hypertension * complications MeSH
- Intracranial Hemorrhages * diagnosis etiology mortality physiopathology therapy MeSH
- Needles utilization MeSH
- Blood Sedimentation MeSH
- Middle Aged MeSH
- Humans MeSH
- Minimally Invasive Surgical Procedures MeSH
- Cerebrovascular Circulation MeSH
- Punctures methods utilization MeSH
- Aged MeSH
- Severity of Illness Index MeSH
- Outcome and Process Assessment, Health Care MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
Hypertensive intracerebral hematoma is one of the most severe forms of cerebrovascular pathology, characterized by high lethality and disability. One of the objectives in providing assistance remains the development of new minimally invasive methods for the removal of hematomas. We have analyzed the results of surgical treatment of 176 patients with intracerebral hematoma. Patients from the 1st group were done open craniotomy. Patients from the 2nd group were performed the external ventricular drainage, also needle aspiration with fibrinolysis. Patients from the 3rd group were performed minimally invasive removal using the original device. Results of treatment were evaluated using Glasgow outcome scale. Lethality was observed in 1st group in 47.8% of cases, in 2nd group in 31.8%, in 3rd group in 29.7%. Minimally invasive technique reduced the postoperative mortality and improved treatment outcomes of patients with intracerebral hematoma.
Literatura
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- $a Hypertensive intracerebral hematoma is one of the most severe forms of cerebrovascular pathology, characterized by high lethality and disability. One of the objectives in providing assistance remains the development of new minimally invasive methods for the removal of hematomas. We have analyzed the results of surgical treatment of 176 patients with intracerebral hematoma. Patients from the 1st group were done open craniotomy. Patients from the 2nd group were performed the external ventricular drainage, also needle aspiration with fibrinolysis. Patients from the 3rd group were performed minimally invasive removal using the original device. Results of treatment were evaluated using Glasgow outcome scale. Lethality was observed in 1st group in 47.8% of cases, in 2nd group in 31.8%, in 3rd group in 29.7%. Minimally invasive technique reduced the postoperative mortality and improved treatment outcomes of patients with intracerebral hematoma.
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