高血压基底节出血微创治疗的手术预后评价

目的：总结微创穿刺术治疗高血压脑出血的疗效，判定影响预后的相关因素。方法：回顾研究GCS评分7～12分的81例微创术治疗高血压基底节出血患者的临床资料并进行随访；Logistic回归分析判定影响预后的因素。结果：Logistic多因素回归分析显示术前患者的血压、首次血肿引流量、手术时机和年龄等是微创术治疗高血压基底节出血重要的预后相关因素。血肿抽吸少于原发血肿量的1／5和24h以后的血肿抽吸是较为安全的，对临床有一定指导意义。结论：本研究的Logistic多因素回归结果对判定患者的预后有一定指导作用。

Minimally invasive surgery for hypertensive basal ganglia hemorrhage: an evaluation of prognosis

Objective To evaluate the efficacy of minimally invasive surgery for hypertensive basal ganglia hemorrhage, and determine the related factors for prognosis. Methods We reviewed the clinical data on 81 patients with hypertensive basal ganglia hemorrhage who had undergone minimally invasive surgery and had a GCS score of 7 to 12. Logistic regressive analysis was performed to identify the related factors for prognosis. Results Logistic multivariate regressive analysis revealed that age, preoperative blood pressure, timing of surgery, first hemorrhage drainage volume were the important factors related to the prognosis of hypertensive basal ganglia treated by minimally invasive surgery. It was clinically safer to drain less than one fifth of the primary amount of the hematoma and to conduct the procedure 24 hours after the onset of bleeding, which was helpful in the clinical practice. Conclusion Our conclusion of Logistic regressive analysis plays some roles in predicting the prognosis of the patients.