超早期微创穿刺术治疗基底节区脑出血的疗效分析

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患者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，以及治疗后1个月和3个月临床神经功能缺损评分、6个月后日常生活活动能力（ADL）进行比较。结果病死率在两组间差别无统计学意义，微创穿刺术组的血肿消散时间比药物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 patients with 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 showed no difference between the two groups, the hematoma dispersed earlier in minimally invasive puncture group compared with drug conservative treatment group, on the the clinical neurological deficit scores and prognosis of grading and assessment of ADL, minimally invasive puncture group was better than the conservative treatment group. Conclusion The basal ganglia intracerebral hemorrhage ultra -early minimally invasive surgical treatment positive puncture.