微创穿刺术治疗基底节区脑出血50例疗效分析

Minimally invasive puncture in the treatment of brain basal ganglia intracerebral hemorrhage Analysis

目的：比较基底节区脑出血超早期微创穿刺术与药物保守治疗的疗效，寻找理想的治疗方法。方法：选择基底节区脑出血病人随机分为微创穿刺引流术组（50例）和药物保守治疗组（48例），对两组患者的血肿消散时间，病死率，以厦治疗后1月和3月临床神经功能缺损评分、6月后日常生活活动能力（ADL）进行比较。结果：病死率在两组间无差别，微创穿刺术组的血肿消散时间比内科保守治疗组明显缩短，治疗：后临床神经功能缺陷评分和预后ADL分级评估可见微创穿刺术组也明显优于保守治疗组。结论：基底节区脑出血超早期微创穿刺手术治疗的疗效肯定。

Objective To compare the basal ganglia intracerebral hemorrhage super--early minimally invasive puncture and drug efficacy of conservative treatment to find the ideal method of treatment. Methods The basal ganglia intracerebral hemorrhage were randomly divided into invasive puncture and drainage group （50 cases） and drug conservative treatment group （48 cases）, the two groups of patients with hematoma dissipation time, mortality, and treatment after 1 month and 3 month on the clinical neurological deficit scores, 6 months after the activities of daily living （ADL） were compared. Results： The mortality rate between the two groups no difference in minimally invasive hematoma puncture group dispersion longer than medical conservative treatment group was significantly shorter after treatment, the clinical neurological deficit scores and prognosis of grading and assessment of ADL can be seen minimally invasive puncture group also significantly superior in the conservative treatment group. Conclusion： The basal ganglia intracerehral hemorrhage ultra--early minimally invasive surgical treatment positive puncture.