Table 1.
Characteristics of the included studies
| First author (year) | Country | Duration | Random trail | Type of patients | Hematoma volume (ml) | Comparison of treatment methods Number (Male, Age (year), Hematoma volume (ml)) |
Information of minimally invasive | Outcome | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Conservative group | Craniotomy group | Minimally invasive group | Method | Puncture positioning method | Guideline | |||||||
| Bo Huang (2003) [28] | China | 1998–2001 | No | HICH | > 30 | 38 (57.9%, 62.1 ± 5.8, 35–128) | 38 (68.4%, 56.7 ± 5.3, 38–120) | 36 (72.2%, 60.3 ± 5.1, 32–139) | Minimally invasive evacuation | Cranial CT scan | The 4th Cerebrovascular Disease Conference | NIHSS |
| Gang Yang (2016) [5] | China | 2012–2014 | Yes | HCH | > 30 | – | 78 (55.1%, 59.77 ± 5.06, 30–180) | 78 (66.67%, 60.18 ± 5.51, 35–180) | Minimally invasive intracranial hematoma | Cranial CT scan | The 4th Cerebrovascular Disease Conference | BI |
| Guodong Wang (2017) [23] | China | 2015–2016 | Yes | Hypertensive spontaneous ICH (basal ganglia) | > 30 | 60 (66.67%, 55.2 ± 5.6, 31–87) | – | 60 (61.67%, 60.2 ± 7.3, 33–85) | Minimally invasive intracranial hematoma | Cranial CT scan | The 4th Cerebrovascular Disease Conference | NIHSS |
| Guoqiang Wang (2014) [22] | China | 2009–2012 | No | Hypertensive spontaneous ICH | > 30 | – | 114 (71.9%, 55.3 ± 11.1, 30–128) | 84 (73.8%, 59.4 ± 14.5, 30–144) | Minimally invasive puncture and drainage | Cranial CT scan | Ethics Committee of General Hospital of Beijing Military Region | GOS |
| Huili Kang (2016) [27] | China | 2012–2014 | No | HCH (basal ganglia) | 20–40 | – | 30 (46.67%, 48 ± 12, 20–40) | 30 (50%, 50 ± 10, 20–40) | Minimally invasive removal | Cranial CT scan | – | GOS |
| Jinbiao Luo (2008) [25] | China | 2004–2008 | Yes | Hypertensive mild hemorrhage (basal ganglia) | 10–30 | 39 (58.97%, 54.3 ± 10.1, 10–30) | – | 36 (58.33%, 56.3 ± 9.2, 10–30) | Minimally invasive directional soft tube placement | Cranial CT scan | – | GOS, ADL |
| Pingbo Wei (2010) [19] | China | 2007–2010 | Yes | HICH | 20–40 | 39 (56.4%, 40–77, 39 ± 8) | – | 31 (54.8%, 39–76, 31 ± 8) 36(52.7%, 41–80, 31 ± 9) |
Minimally invasive surgery | Cranial CT scan | Intracranial hematoma minimally invasive puncture removal techniques standardized treatment guidelines | GOS |
| Shuwu Lin (2004) [26] | China | 1995–2003 | Yes | HICH | – | 134 (52.2%, 60.9 ± 10.6, 33.5 ± 23.1) | 10 (20%, 62.1 ± 11.2, 32.3 ± 22.5) | 134 (48.5%, 60.1 ± 10.8, 35.0 ± 23.5) | Minimally invasive puncture and drainage | Cranial CT scan | – | ADL |
| T. Yamamoto (2006) [18] | Japan | 2002–2006 | No | HCH | – | – | 10 (80%, 54–82, 15.9) | 10 (80%, 53–86, 22.3) | Endoscopic surgery | Cranial CT scan | – | GOS |
| T. Nakano (2003) [24] | Japan | 2000–2001 | No | HICH | – | 32 | 11 | 6 | Endoscopic surgery | Cranial CT scan | – | GOS |
| Wenjun Wang (2017) [21] | China | 2012–2016 | No | HICH | > 50 | – | 34 (82.35%, 56.0 ± 12.37, 35.3 ± 18.28) | 70 (82.35%, 61.10 ± 12.10, 68.8 ± 13.42) | Minimally invasive puncture and drainage | Cranial CT scan | – | GOS |
| Xinghua Xu (2017) [9] | China | 2009–2014 | No | Supratentorial HICH | 55.2 ± 28.4/55.9 ± 27.6 | – | 69 (66.7%, 53.8 ± 13.5, 55.9 ± 27.6) | 82 (7.07, 52.9 ± 12.3, 55.2 ± 28.4) | Endoscopic surgery | Cranial CT scan | – | MRS score, GOS |
| Xueyuan Wang (2011) [20] | China | 2004–2009 | Yes | Hypertensive basal ganglia hemorrhage | 20–35 | 30 (53.33%, 45.73 ± 11.64, 20–35) | – | 32 (56.25%, 46.75 ± 10.55, 20–35) | Minimally invasive puncture and drainage | Cranial CT scan | The 4th Cerebrovascular Disease Conference | ADL |
| YF Yan (2015) [17] | China | 2010–2013 | No | Hypertensive basal ganglia hemorrhage | 15–30 | 12 (58.33%, 47.75 ± 9.16, 22.42 ± 4.70) | – | 13 (76.92%, 55.31 ± 9.97, 25.18 ± 4.15) | Neuronavigation-assisted minimally invasive | Cranial CT scan | – | GOS, NIHSS |
| Yi Feng (2016) [29] | China | 2006–2013 | Yes | HCH | < 60 | – | 91 (63.73%, 69.10 ± 10.26) | 93 (60.21%, 66.35 ± 12.23) | Endoscope-assisted keyhole technique | Cranial CT scan | – | ADL |
| Zaiyu Li (2012) [16] | China | 2007–2010 | Yes | HICH | > 30 | – | 110 (74.55%, 45–79, 30) | 102 (71.57%, 37–75, 30) | Minimally invasive puncture suction drainage | Cranial CT scan | The 4th Cerebrovascular Disease Conference | ADL, NIHSS |
HICH Hypertensive intracerebral hemorrhage, HCH hypertensive cerebral hemorrhage, ICH intracranial hemorrhage, CT computed tomography, ADL Activities of Daily Living, GOS Glasgow Outcome Scale