微创术治疗基底节区出血的临床观察

Clinical Observation of Treating Intracerebral Hemorrhage of Basal Ganglion with Minimally Invasive Surgery

目的:观察颅内血肿微创术治疗基底节区出血的疗效。方法:将基底节区出血30ml以上的患者分为颅内血肿微创术组(微创组)98例,内科保守治疗组100例,比较两组疗效。结果:微创组总有效80.61%,明显高于内科组42%(P<0.01);死亡率微创组11.22%,内科组41%(P<0.01)。随访6个月,患者总的生活能力状态比较有显著差异性(P<0.05)。结论:微创血肿清除术治疗基底节区出血可显著改善患者预后。

Objective：To investigate the etficacy of minimally invasive surgery （MIS） in the treatment of intracerebral hemorrhage of basal ganglion （ IHBG）. Methods： 198 patients with over 30ml of IHBG were divided into MIS - treated group （ n = 98 ） and medical conservative treatment group （n = 100）. The curative effects were compared between two groups. Results： The total effective rate of MIS group was 80.61%, whereas, that of medical conservative treatment group was 42%. The difference was significant （P 〈 0.01 ）. The mortality rate in MIS group was 11.22%, which markedly less than 41% in medical treatment group. The living conditions in these patient with different treatment in two groups had significant difference within 6 months follow up（ P 〈 0. 05 ）. Conclusion： MIS can be performed on patients with IHBG and obviously improve these patients＇ prognosis