显微镜下小骨窗微创治疗基底节区高血压脑出血的疗效分析

目的探讨显微镜下小骨窗微创治疗基底节区高血压脑出血的疗效。方法回顾性分析2001年至2007年以传统开颅手术和显微镜下小骨窗微创治疗高血压脑出血病人136例，并对预后进行对比分析。结果病人出院三个月后按照ADL（日常生活能力）分类，传统方法组ADLⅠ～Ⅲ级57．3％，显微镜下小骨窗微创组73．8％，经统计学处理两组具有显著性差异。结论显微镜下小骨窗微创治疗基底节区高血压脑出血具有创伤小、时间短、恢复快等优点，其疗效明显优于传统手术方法。

Microsurgery through a small skull window for hypertensive cerebral hemorrhage in basal ganglia regions

Objective To study the effects of microsurgery for hypertensive cerebral hemorrhage in the area of basal ganglia regions through a small skull window. Methods 136 patients with hypertensive cerebral hemorrhage in basal ganglia regions from 2001 to 2007 treated by microsurgery through a small skull window or conventional operation were analyzed retrospectively. The outcomes and complications due to the different operation were compared and analyzed. Results Patients were categorized according to the ADL classification three months later after discharge. ADL rated I II grade were 57% by conventional operation and 73.8% by microsurgery through a small skull window. There was a significant difference between two groups. Conclusions The microsurgery through a small skull window has its merits such as less injury, shorter operative duration and quicker recovery of neurological function, and is much better than conventional operation.