显微手术治疗自发性基底节出血的临床研究

目的：探讨治疗自发性基底节出血的有效措施。方法：将1997年9月－2001年10月采用显微手术治疗的96例自发性脑出血患者，与1994年9月－1997年8月采用常规开颅清除血肿的88例同类患者，在术后血肿清除率，手术死亡率和致残率等方面作对比研究。结果：显微手术能显著提高血肿清除率（P＜0．05）、降低术后脑水肿反应发生率（P＜0．01），从而显著降低了手术死亡率（P＜0．05）和致残率（P＜0．05）。结论：显微手术是治疗自发性脑出血患者一种有效的手术方式。

Clinical Study on Micriosurgical Treatment of Spontaneous Basal Ganglia Hem-orrhage

Objective: To study the effect of microsurgical treatment on spontaneous basal ganglia hemorrhage. Methods: From September 1994 to August 1997, 88 consecutive patients with spontaneous basal ganglia hemorrhage were treated for e-vacuating hematoma by convertional craniotomy. From September 1997 to October 2001, 96 same cases were treated by craniotomy with microsurgical operations. We compared the results of two groups in the rate of hematoma removal,operative mortality and disability rate . Results:Microsurgical operations increased rate of hematoma removal(P<0.05) .decreased the postoperative brain edema(P<0.01)as well as the operative mortality and disability rate(P<0.05).Conclusion:Microsurgical operation is an effective surgical method for spontaneous basal ganglia hemorrhage.