Abstract:Objective To compare the clinical efficacy of simple craniotomy with hematoma evacuation and combined it with borehole drainage in the treatment of hypertensive intracerebral hemorrhage (HICH) to provide a choice for clinical treatment. Methods A total of 100 HICH patients admitted in First Hospital of Shijiazhuang from December 2014 to August 2017 were selected as research objects. According to surgery methods, the patients were divided into control group (n=40) in which the simple craniotomy with hematoma evacuation was used and observation group (n=60) in which craniotomy hematoma evacuation combined with borehole drainage was used. The first hematoma removal rate, incidence of complications, nerve function changes and short-term effects were compared in two groups. Results The first hematoma removal rate in control group was significant lower than that in observation group [(52.6±6.0)% vs (79.9±7.8)%, P<0.01]. After surgery, the incidences of pulmonary infection and hydro-electrolyte metabolism balance disorder in control group were significantly higher than those in observation group (all P<0.05). There were no significant differences in incidences of re-bleeding and intracranial infection between the two groups (all P>0.05). After surgery, the neurological deficit score in control group was significantly higher than that in observation group (13.1±1.4 vs 8.8±1.2, P<0.01). Rate of good outcome(GOS score=5) 6 months after surgery in control group was significantly worse than that in observation group (P<0.01). Conclusion The curative effect of craniotomy with hematoma evacuation combined with borehole drainage is better than simple craniotomy with hematoma evacuation, which can increase hematoma removal rate, reduce occurrence of complications, improve nerve function and facilitate prognosis.