微创钻孔引流与开颅手术治疗基底节脑出血的疗效比较

Comparison of Curative effect of Minimally Invasive Drainage and Craniotomy for Cerebral Hemorrhage in Basal Ganglia

目的比较微创钻孔引流与开颅手术治疗基底节脑出血的疗效。方法 2008年3月至2011年2月期间,我科共收治基底节脑出血患者75例,将这些患者随机分组,其中微创钻孔引流组39例行穿刺血肿碎吸术,开颅手术组36例行传统开颅血肿清除术,对比这两组患者的疗效。结果①开颅手术组患者的病死率要高于微创钻孔引流组患者的病死率,差异有统计学意义(χ2=4.0717,P=0.0451)。②微创钻孔引流组患者术后3个月(u=2.4397,P=0.0438)、6个月(u=4.3298,P=0.0229)的神经功能缺损评分要高于同期的开颅手术组,差异有统计学意义。③微创钻孔引流组患者术后3个月(u=2.5457,P=0.0409)、6个月(u=3.3478,P=0.0329)的日常生活活动能力评分要高于同期的开颅手术组,差异有统计学意义。结论微创钻孔引流术较开颅手术能更有效地改善基底节脑出血患者的预后。

Objective To compare the curative effect of minimally invasive drainage and craniotomy for patients with cerebral hemorrhage in basal ganglia.Methods？From March 2008 to February 2011,Our department treated 75 patients with cerebral hemorrhage in basal ganglia.these patients were randomized,39 patients were treated with minimally invasive drainage,and other 36 patients were treated with craniotomy.Results？①The mortality of patients treated with craniotomy was significantly higher than that in patients treated with minimally invasive drainage（χ2= 4.0717,P=0.0451）.②The neurological deficit score of patients treated with minimally invasive drainage was significantly higher than that in patients treated with craniotomy 3 months（u=2.4397,P=0.0438）and 6 months（u=4.3298,P=0.0229） after the operation,respectively.③The activity of daily living score of patients treated with minimally invasive drainage was significantly higher than that in patients treated with craniotomy 3 months（u=2.5457,P=0.0409）and 6 months（u=3.3478,P=0.0329） after the operation,respectively.Conclusion？Minimally invasive drainage is more effective than craniotomy for treating patients with cerebral hemorrhage in basal ganglia.