Objective To systematically review the efficacy between minimally invasive hematoma aspiration and small bone window hematoma for patients with hypertensive cerebral hemorrhage. Methods Such databases as CNKI,VIP and Wanfang Data was searched to identify on minimally invasive hematoma puncture and small bone window hematoma for patients with hypertensive cerebral hemorrhage from January 2014 to July 2017. According to inclusion and exclusion criteria, independent screening literature, data extraction and evaluation of methodological quality were included in the study. RevMan5.0 software was used for Meta analysis. Results A total of 1 379 patients were included in the final 11 articles. The results of Meta analysis showed that, minimally invasive was superior to small bone window with significant difference in the total effective rate OR=1.96, 95%CI(1.34,2.86,P=0.0005), postoperative ADL grade (grade I and V), postoperative rebleeding OR=0.46,95%CI(0.30,0.72),P=0.0007, incidence of respiratory tract infection OR=0.67,95%CI(0.48,0.93),P=0.02 and postoperative mortality OR=0.56, 95%CI(0.36, 0.88),P=0.01. Conclusion For patients with moderate hypertensive intracerebral hemorrhage, minimally invasive hematoma aspiration surgery is more effective than small bone flap hematoma removal, which can reduce postoperative complications and mortality, and can reduce neurological impairment and improve patients' living ability in the long run.
Key words
Minimal invasive /
Small bone window /
Hypertensive cerebral hemorrhage /
Meta-analysis
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