Objective  To compare the efficiency of removal and drainage of hematoma by small bone window craniotomy versus minimally invasive puncture and aspiration in treatment of cerebral hemorrhage patients with coagulation disorders in early stage.

  Methods  From March 2009 to March 2018, 84 cerebral hemorrhage patients with coagulation disorders in early stage were randomly divided into observation group and control group, with 42 cases in each group. The control group was treated with removal and drainage of hematoma by small bone window craniotomy, while the observation group was treated with minimally invasive puncture and aspiration. The efficiency was compared between two groups.

  Results  The short-term effect of the observation group was significantly better than that of the control group (P < 0.05). Six months after operation, 26 patients in the observation group could take care of themselves, accounting for 63.41%, but only 13 patients in the control group did, accounting for 35.14%, and there was a significant difference (P < 0.05). The absorption time of hematoma in the observation group was (12.17±2.24) days, which was significantly shorter than (28.41±4.39) days in the control group (P < 0.05). The neurological deficit score in the observation group was (9.58±2.03) points, which was significantly lower than (16.57±3.14) points in the control group (P < 0.05). The recurrence rate of hematoma in the observation group was 16.67%, which was significantly lower than 38.10% in the control group (P < 0.05).

  Conclusion  Minimally invasive puncture and aspiration is safe and effective in the treatment of cerebral hemorrhage patients with abnormal coagulation function, which has the advantages of simple manipulation, small trauma and quick postoperative recovery.