微创手术治疗中等量基底节区脑出血的临床效果观察

Curative effect of minimally invasive surgery for patients with medium volume of hypertensive criatocapsular hemorrhage

目的：观察微创手术治疗中等量基底节脑出血的疗效。方法回顾性分析59例幕上中等量高血压性基底节区脑血肿（20～30 mL）患者的临床资料，按治疗方法不同分为微创手术治疗组及保守治疗组，比较两组的平均住院天数、住院费用及临床治疗效果。结果微创手术治疗组平均住院天数（14．00±3．26）d，平均住院费用（1．10±0．33）万元，明显低于保守治疗组的（25．00±6．58）d、（1．80±0．56）万元，两组差异均有统计学意义（t ＝7．999、5．768，均 P ＜0．01）。术后3个月随访，根据日常生活能力（ADL）分级法评定，微创手术治疗组术后生活自理能力恢复情况明显优于保守治疗组（12／31比25／28）（χ^2＝16．093，P ＜0．01）。结论对于中等量高血压基底节区脑出血的患者微创手术治疗可以缩短患者的住院时间，减轻患者的经济负担，可以明显改善预后。

Objective To observe the mini -invasive treatment for patients with medium volume of hyper-tensive criatocapsular hemorrhage.Methods 59 patients with medium volume of hypertensive criatocapsular hemor-rhage（20 -30mL）were selected and randomly divided into mini -invsasive surgery group and conservative treatment group.Two groups were compared the average length of stay,hospital costs and clinical effect.Results The avergae hospital stay （14 ±3.26）days and avergae cost （1.1 ±0.33）ten thousand yuan of the mini -invsasive surgery group was lower than those of the conservative treatment group （25 ±6.58）days and （1.8 ±0.56）ten thousand yuan],the differences were statistically significant （t =7.999,5.768,all P 〈0.01）.After 3 months follow -up,the recovery of self -care ability after operation estimated by ADL scores in the mini -invsasive surgery group was significantly better than that in the conservative treatment group（12 /31 vs.25 /28,χ^2 =16.093,P 〈0.01）.Conclusion For patients with medium volume of hypertensive criatocapsular hemorrhage（20 -30mL）,minimally invasive surgery can shorten hospital stay,reduce the financial burden of patients,and improve the prognosis significantly.