Turkish Neurosurgery 2012 , Vol 22 , Num 1
Modifying the Details of Aspiration Operation may Contribute to the Improvement of Prognosis of Patients with ICH
Zhou-Ping TANG1, Yuan-Hong SHI1,2, Xiao-Ping YIN3, Jin-Zhi XU1, Su-Ming ZHANG1, Wei WANG1
1Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Department of Neurology, 1095, Jie-Fang Road Wuhan, China
2Subei Hospital, Affiliated Hospital of Yangzhou University, Department of Neurology, China
3Affiliated Hospitals of Jiujiang University, Department of Neurology, China
DOI : 10.5137/1019-5149.JTN.4219-11.0 AIM: The aim of the retrospective study was to compare the clinical efficacy of the traditional way of aspiration and the modified way of aspiration.

MATERIAL and METHODS: Clinical data of total 159 patients with spontaneous intracerebral hemorrhage treated by traditional (group A, n=66) or modified (group B, n=93) way of aspiration (both combined with thrombolysis) were retrospectively analyzed. Reduction of clot volume in the first operation, rate of mortality and re-bleeding, complications, and long-term clinical outcomes of the two groups were compared.

RESULTS: Twenty-five out of 159 patients (15.7%) died during in-hospital stay. The mortality and post-operation re-bleeding rate in group B (10.8% and 1.1%) were significantly lower than that in group A (22.7% and 9.1%), (P<0.05). The BI scores of patients in group B (79.5±23.2) were significantly higher than that in group A (69.2±23.9), (P<0.05).

CONCLUSION: Our data suggested that modifying details of aspiration operation may contribute to the improved prognosis of ICH patients. Keywords : Hematoma aspiration, Thrombolysis, Intracerebral hemorrhage, Outcome

Corresponding author : Wang Weı, ddjtzp@163.com