Comparative evaluation of the results of conservative and surgical treatment of patients with hypertensive intracerebral hemorrhages
Annotatsiya
Aim. Comparative evaluation of 30-day survival in patients with hypertensive intracerebral hemorrhages(HIH) after conservative and surgical treatment.Material and methods. A comparative analysis of the results of conservative and surgical treatment of140 patients with HIH was carried out, 52 (37.1%) patients of them were female, 88 (62.9%) were male.The average age is 58.8±14.0 years. The patients were divided into 2 groups: group 1 – patients with conservative treatment (n=60), group 2 – patients with surgical treatment (n=80).Results. The 30-day survival rate is higher in patients with conservative treatment due to small volumes of hematoma, in patients with surgical treatment – with large volumes. In patients with conservative treatment with a volume of HIH up to 10 cm3, the 30-day survival rate was 92,9%, with a volume of11-20 cm3– 63,6%, with a volume of 21-30 cm3– 50%, with a volume of 31-40 cm3– 0% (χ2=29.9p<0.01). In patients with surgical treatment with a volume of HIH up to 10 cm3, the 30-day survival rate was50%, with a volume of 11-20 cm3– 70,8%, with a volume of 21-30 cm3– 82,4%, with a volume of 31-40 cm3– 41,9% (χ2=8.3 p<0.05). The 30-day survival rate for small volumes in the intravenrticular hemorrhage (IVH), estimated by the mGS, is higher than for large volumes. In patients with conservative treatmentwith 0 points by the mGS the 30-day survival rate was 91,4%, with 3 points – 50%, with 6 points – 33,3%,with 8 points – 0% (χ2=24.4 p<0.01). In patients with surgical treatment with 0 points on the mGS the 30-daysurvival rate was 94%, with 3 points – 57,1%, with 6 points – 44,4%, with 8 points – 33,3% (χ2=24.5 p<0.01).Conclusion. The choice of a surgical or conservative treatment method can be carried out on the basis ofvolume indicators of hematoma and the severity of IVH.