微创手术与传统开颅术治疗基底节区脑出血临床疗效对比

目的对比分析微创手术与传统开颅术治疗脑出血患者的临床疗效，旨在提高治疗效果。方法选取2006年5月～2012年6月在本院进行手术治疗的脑出血患者70例作为研究对象，其中微创手术组35例，传统手术组35例。观察并比较治疗后两组的恢复情况。结果术后3d微创组清醒、嗜睡、浅度昏迷、中度昏迷和深度昏迷的例数分别为20、5、8、2、0例；而对照组分别为10、5、16、4、0例。术后3个月，微创组植物状态（ADL5）和死亡共4例．对照组为11例，两组间的差异具有统计学意义（P〈0．05）。治疗1个月后，微创组的总有效率为80．00％。远高于对照组的54．29％（P〈0．05）。结论对脑出血手术患者给予微创手术治疗，术后意识更好，微创组植物状态和死亡的发生率更低。有效率更高，值得临床推广应用。

The clinical curative effect comparison between minimally invasive surgery and traditional craniotomy treatment basal ganglia cerebral hemorrhage

Objective To compartive analyse the clinical curative effect of minimally invasive surgery and traditional craniotomy treatment of cerebral hemorrhage patients, to improve the treatment effect. Methods Seventy cases of cerebral hemorrhage patients given surgical treatment were selected in our hospital from May 2006 to June 2012 as the research object, included minimally invasive surgical 35 cases, the traditional surgical 35 cases. The two groups after treatment of recovery were observed and compared. Results After surgery 3 d, the awake, sleepiness, shallow degree coma, moderate coma and depth comatose number in minimally invasive group respectively, 20, 5, 8, 2, 0 cases. And control group respectively for 10, 5, 16, 4, 0 cases. After surgery 3 months, the vegetative state （ADLS） and death 4 cases in minimally invasive group and control group for 11 cases, the difference between the two groups had statistical significance （P 〈 0.05）. For 1 month after, the total effective rate in minimally invasive group was 80.00%, far higher than 54.29% in control group （P 〈 0.05）. Conclusion Cerebral hemorrhage surgery to minimally invasive surgical treatment is good for patients, postoperative consciousness is better, minimally invasive plants state and the incidence of death more low, higher efficiency, it is worth of clinical application.