摘要2000年1月至2006年12月,对78例大量高血压脑出血(出血量80～130 m1)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(x2=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.

abstractsFrom 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.