Objective  To explore the effect of extraventricular drainage combined with clearance of hematoma by craniotomy in treatment of patients with cerebral hemorrhage rupturing into ventricle.

  Methods  Totally 95 patients with cerebral hemorrhage rupturing into ventricle were selected and randomly divided into control group (n=30) and observation group (n=65). The control group was treated with extraventricular drainage, while the observation group was treated with extraventricular drainage and clearance of hematoma by craniotomy. The curative effect, clinical indexes and complications were compared between two groups.

  Results  The total effective rate of the observation group was 89.23%, which was significantly higher than 73.33% of the control group (P < 0.05). The amount of residual hematoma in the observation group was significantly less than that in the control group, while the operation time and hospitalization were significantly longer than those in the control group (P < 0.05). The modified Rankin Scale (MRS) score and neurological deficit score in the observation group were significantly lower than those in the control group, while the Glasgow Outcome Score (GOS) was significantly higher than that in the control group (P < 0.05). The incidence rate of complications in the observation group was 3.08%, which was significantly lower than 16.66% in the control group (P < 0.05).

  Conclusion  Extraventricular drainage combined with clearance of hematoma by craniotomy is effective in treatment of patients with cerebral hemorrhage rupturing into ventricle, which can significantly reduce the amount of residual hematoma after operation and the incidence of complications.