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| A comparative study of the intracerebral hematoma dynamic absorption rate under different treatments |
| YAN Le-ka, LIU Huai-jun, LI Jian-ying, FENG Ping-yong, CAO Hui-zhi, YAN Chun-ming |
| Department of Medical Imaging, the Second Affiliated Hospital of Hebei Medical University, Shijiazhuang 050000, China |
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Abstract Objective: To quantitatively assess the dynamic changes of hematoma absorption rate after different treatments with hematoma volume measurement software. To provide support for clinical treatment programs. Method: The changes of hematoma volume of conservative treatment group and drilling skull drainage group were measured by hematoma volume measurement software, the results were calculated, compared and analyzed. Result: The conservative treatment group was rechecked at the first, third and seventh day, and the average rates of hematoma absorption separately were 9.31%, 16.04%, 28.05%. The absorption rates of hematoma were reduced by turns with the volume of the first intracerebral hemorrhage: <10ml, 10~20ml, 20~30ml. In the drainage group the absorption rates of hematoma after operation were 30.19%, 34.11%, 58.38% at the first, third and seventh day. There was significant deviation in the reduced rates of hematoma volume at the third and seventh day between the conservative treatment group and drilling skull drainage group(P<0.0001). Conclusion: When the volume of hemotoma is more than 30ml, the hematoma cured after the drilling skull drainage treatment would be absorbed quicker than conservative treatment if the patient could tolerate the operation. The hematoma absorption rate is associated with the first amount of bleeding, and it is quickly absorbed if the amount of bleeding is small, otherwise, opposite.
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Received: 28 January 2010
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2010, Vol. 21 
