微创颅内血肿穿刺清除术对脑出血患者长期神经功能缺损治疗效果观察

目的 探讨微创颅内血肿穿刺清除术对脑出血患者长期神经功能治疗效果的影响.方法 纳入我院神经外科2008年1月～2011年12月入院符合入选标准的203例急性脑出血患者,随机分为微创颅内血肿穿刺清除术治疗组（微创组,n=104）和常规开颅血肿清除术治疗组（开颅组,n=99）.随访患者脑出血后1年格拉斯哥预后评分（GOS）、改良Rankin评分（mRS）、日常生活活动能力量表（Barthel Index）和是否死亡.结果 两组患者性别、年龄、出血量、格拉斯哥昏迷评分（GCS）无明显差异（P＞0.05）.脑出血后1年,微创组较开颅组能显著改善患者神经功能缺损（P＜0.05）.结论 微创颅内血肿穿刺清除术能够改善脑出血患者长期神经功能缺损,有利于患者神经功能恢复.

Investigation of the long-term neurological function after MISP in patients with ICH

Objective To investigate the long-term neurological function after MISP in patients with ICH.Methods According to the enrollment criteria,203 patients with acute ICH were included in this study.104 were divided into MISP group and 99 were divided into conventional craniotomy （CC） group.Patients were followed for 1 year by Glasgow outcome scale,modified Rankin scale and Barthel Index.Results There were no significant differences in age,gender,hemorrhage volume and Glasgow coma scale between 2 groups.Neurological function being improved significantly more in MISP group than in CC group at 1 year after ICH.Conclusion MISP treatment could improve long-term neurological function after ICH.