[Comparison of the intracranial pressure value in patients with hypertensive intracerebral hemorrhage treated with traditional craniotomy and puncture drainage].
OBJECTIVE
To compare the difference of intracranial pressure (ICP) in patients with hypertensive intracerebral hemorrhage (HICH) treated with two surgical procedures, traditional craniotomy and puncture drainage.


METHODS
One hundred and twelve cases with HICH were randomly divided into two groups. In one group, 60 patients were operated by traditional craniotomy and in another group, 52 cases by puncture drainage and urokinase treatment. In the meantime, ICP was monitored by placing catheter in lateral ventricle on the contralateral side of the hemorrhage. ICP values were recorded after operation at once, at 24 hours, 72 hours and 1 week.


RESULTS
Although all the patients showed increased ICP, the increasing degree in patients treated with traditional craniotomy had lower ICP values (P<0.05 or P<0.01).


CONCLUSIONS
Traditional craniotomy has advantages over puncture drainage for patients with HICH at least with respect to decreasing ICP.
Song
Shao-jun
SJ
Institute of Neurosurgery of Chinese People's Liberation Army, Xijing Hospital, Fourth Military Medical University, Xi'an 710033, Shanxi, China.
Fei
Zhou
Z
Zhang
Xiang
X
D000328:Adult; D003399:Craniotomy; D004322:Drainage; D005260:Female; D006801:Humans; D020299:Intracranial Hemorrhage, Hypertensive / Q000601:surgery*; D007427:Intracranial Pressure; D008297:Male; D008875:Middle Aged; D011677:Punctures