Effect of the surgery timing on the minimally invasive puncture in the treatment of hypertensive intracerebral hemorrhage

Objective: To observe the effects of the surgery timing on the minimally invasive puncture in the treatment of hypertensive intracerebral hemorrhage.Methods: Two hundred and forty-one patients with hypertensive intracerebral hemorrhage were divided into the ultra-early group(80 cases),early group(81 cases) and late group(80 cases) according to the operation time after the onset of hemorrhage.All patients were treated with the minimally invasive surgery,and the clinical effects between three groups were compared with the excellent rates of Glasgow Outcome Scale at postoperative 2 weeks,and Barthel Index Scale at postoperative 3 months.The long-term functional recovery,postoperative complications and re-bleeding between three groups were compared.Results: The excellent rates of Glasgow Outcome Scale at postoperative 2 weeks,and Barthel Index Scale at postoperative 3 months in ultra-early group were higher than those in other two groups(P<0.05 to P<0.01).The differences of the incidence of re-bleeding between three groups were statistically significant(P<0.05),but the differences of the incidence of complications between three groups were not statistically significant(P>0.05).Conclusions: The minimally invasive surgery at ultra-early stage can be beneficial to the short-term and long-term functional recovery of patients with hypertensive intracerebral hemorrhage,which is an ideal surgery timing.