微创颅内血肿清除术与小骨窗颅内血肿清除术治疗高血压脑出血的临床疗效比较

目的 比较微创颅内血肿清除术与小骨窗颅内血肿清除术治疗高血压脑出血的临床疗效.方法 以高血压脑出血患者（基底节区或脑叶出血量30～60ml）为研究对象,分为甲组：微创颅内血肿清除术组,乙组：小骨窗颅内血肿清除术组.每组30例,均在CT定位下行血肿清除,分别于治疗后1、2、4周进行疗效对比研究.结果 甲组总有效率94%,乙组85%,在时间轴上两组治疗前后神经功能缺损评分均有显著差异,组间也有显著差异.结论 两种颅内血肿清除术均是治疗高血压脑出血有显著效果的手段,特别是微创颅内血肿清除术疗效更佳.

The clinical comparison of micro-invasive surgical therapy and key hole surgery for hypertensive cerebral hemorrhage

Objective To compare the effect of micro-invasive surgical therapy and key hole surgery for hypertensive cerebral hemorrhage(HICH).Methods 30 patients with HICH(A group)were treated with microinvasive surgical therapy,and 30 patients(B group)were treated with key hole surgery.Each intra-cerebral hematoma was positioned by CT before treatment.The nurolgical function studies had be done after 1week,2weeks,and 4weeks of therapy.Results The rate of total efficiency was 94% in A group and that was 85% in B group.Before and after treatment,the scores of neurological function were different in each group,and the different was significant.It was significant different between A and B group too.Conclusion It was effectual that the patients with HICH could be treated by key hole surgery,or by micro-invasive surgical therapy,the latter was better.