小骨窗结合显微外科手术治疗基底节区高血压脑出血的疗效分析

Effect of small bone flap craniotomy combined with microsurgery on treatment of hypertensive cerebral hemorrhage in basal ganglia region

目的探讨小骨窗结合显微外科技术治疗基底节区高血压脑出血的临床疗效。方法选择38例基底节区高血压脑出血中等血肿量（血肿量30-60mL）患者，随机分为2组，分别行小骨窗显微外科治疗及小骨窗一般手术治疗，根据日常生活能力（ADL）分级法评定疗效，比较其半年后的预后效果。结果显微外科组ADL评分（78±15），对照组为（50±19），2组比较差异有统计学意义（P〈0．05）。结论对于治疗中等量基底节区高血压脑出血，小骨窗结合显微外科技术较传统手术疗效佳。

Objective To explore the clinical effect of small bone flap craniotomy combined with microsurgery on treatment of hypertensive cerebral hemorrhage in basal ganglia region. Meth. ods 38 patients with hypertensive cerebral hemorrhage in basal ganglia region （medium volume of hematoma, 30-60 mL） were randomly divided into two groups. Microsurgery group was treated with small bone flap craniotomy combined with microsurgery, while the control group was treated with small bone flap craniotomy. A prognosis was compared between two groups half a year after treatment. Results ADL score was （78 ± 15） in microsurgery group, which was significantly higher than （50 ± 19） in control group. Conclusion Small bone flap craniotomy combined with microsurgery is more effective than normal surgery in treating patients with medium hematoma vol- ume of hypertensive cerebral hemorrhage in basal ganglia region.