高血压性基底节区脑出血的不同微创手术治疗比较

目的：比较小骨窗微创开颅显微镜下手术及CT引导穿刺微创血肿外引流术治疗高血压性基底节区脑出血的疗效。方法：将高血压性基底节区脑出血患者按治疗方法分成小骨窗微创开颅术组和CT引导穿刺微创血肿外引流术组。分别进行相应的治疗，进行神经功能缺损程度等各项指标评分。结果：小骨窗微创开颅术组中患者意识障碍恢复时间（2．24±1．06）d，神经功能缺损评分由（41．09±1．56）分改善为（8．24±1．26）分；CT引导穿刺微创血肿外引流术组中患者意识障碍恢复时间（7．23±1．13）d，神经功能缺损评分由（40．78±1．89）分改善为（26．13±1．23）分，两组比较，差异有高度统计学意义（P〈0．01）；小骨窗微创开颅术组并发症、血肿清除量及疗效指标优于CT引导穿刺微创血肿外引流术组，两组比较，差异有统计学意义（P〈0．05）。结论：小骨窗微创开颅显微镜下手术清除血肿充分，止血彻底，疗效优于CT引导穿刺微创血肿外引流术。

Comparative analysis of different minimally invasive surgery methods on hypertensive basal ganglia hemorrhage

Objective: To compare the curative effect of treatment for hypertension basal ganglia bleeding between the small bone flap craniotomy microscopic surgery and CT guide puncture the drainage of minimally invasive hematoma.Methods: The hemorrhage patients were divided into small bone window craniotomy group and minimally invasive CT guide puncture of the drainage of minimally invasive hematoma group according to the treatment method,to do correspond-ing treatment respectively,for neurologic deficits each index...