微创穿刺血肿清除术在治疗大量高血压性脑出血中的应用

2000年1月至2006年12月，对78例大量高血压脑出血（出血量80-130ml）患者，分别采用颅内血肿穿刺粉碎清除术（微创组，41例）和小骨窗开颅手术（开颅组，37例）治疗，观察神经功能缺损评分以及病死率。微创组有效率、显效率明显高于开颅组（X^2=5．02，P〈0．05），病死率低于开颅组（P〉0．05）。微创血肿清除术能明显提高有效率，降低致残率，提高患者生存质量。

Micro-invasive surgery for the treatment of intracerebral hemorrhage in hypertensive patients

From January 2000 to December 2006, 78 hypertensive patients with intracerebral hemorrhage(80～130 ml)underwent minimally invasive surgery(n=41)or small bone window craniotomy(n=37). Neurological deficit scores and mortality were estimated to evaluate the therapeutic efficacy among those two group patients. The success rate was significantly higher in the micro-invasive surgery group than the small bone window craniotomy group(P＜0. 05). However, no significantly lower mortality was detected in the micro-invasive surgery group(P＞0. 05). In summary, micro-invasive surgery may reduce the mortality, largely increase the success rate of treatment, and improve patients' quality of life.