KẾT QUẢ PHẪU THUẬT MỞ SỌ LẤY MÁU TỤ TRONG NÃO ĐIỀU TRỊ XUẤT HUYẾT NÃO Ở BỆNH NHÂN TĂNG HUYẾT ÁP TẠI BỆNH VIỆN ĐA KHOA TỈNH VĨNH PHÚC

Abstract

Research Objective: To evaluate the surgical outcomes of craniotomy for hematoma evacuation in the treatment of intracerebral hemorrhage in hypertensive patients at Vinh Phuc Provincial General Hospital. Research Method: A descriptive, cross-sectional study, both retrospective and prospective, involving 54 patients diagnosed with hypertensive intracerebral hemorrhage who underwent craniotomy for hematoma evacuation at the Neurosurgery Department of Vinh Phuc Provincial General Hospital. Results: The average age was 56.61 ± 10.08 years; the male/female ratio was 3.5:1. The location of the hematoma was in the basal ganglia-thalamus region in 68.5%, and in the cerebral hemisphere in 31.5%. The average hematoma volume was 74.10 ± 26.92 cm³. Hemiplegia occurred in 94.4% of patients, with ipsilateral pupil dilation in 22.2%. Hypertension grade III was found in 66.6%. The mean Glasgow Coma Scale (GCS) score before surgery was 9.56 ± 2.13, and the mean GCS score after 6 months was 12.41 ± 2.54. After 6 months, 68.5% of patients had good or fair surgical outcomes. Conclusion: Craniotomy for hematoma evacuation is a critical treatment option for patients with hypertensive intracerebral hemorrhage, especially when the hematoma size is large or there are severe prognostic symptoms. Keywords: Spontaneous intracerebral hemorrhage, hypertension, craniotomy, Glasgow Coma Scale.