关键词: 高血压脑出血, 微创穿刺术, 小骨窗, 疗效

Abstract: 【Abstract】〓Objective〓To evaluate the curative effect between early minimally invasive craniopuncture drainage and small bone flap craniotomy for removing the hematoma in hypertensive cerebral hemorrhage. Methods〓The clinical data of 98 patients with hypertensive basal ganglia hemorrhage were retrospectively analyzed. The patients were divided into minimally invasive hematoma removal surgery group (minimally invasive group, n=63 cases) and small bone flap craniotomy hematoma removal group (small bone flap craniotomy group, n=35 cases). Operation time, hospitalization stay and awareness recovery of patients were evaluated. The neurologic deficit (NID) and the activities of daily living (ADL) were measured at 1 and 3 months after operation respectively. Results〓The operation time and hospitalization stay in minimally invasive group were less than that in small bone flap craniotomy group. No statistical difference was observed in the time of awareness recovery of patients between two groups. One month after treatment, the NID of minimally invasive group was significantly lower than that of the small bone flap craniotomy group. The patient self-care ADL of minimally invasive group was better than that of the small bone flap craniotomy group at the third month. Conclusion〓Minimally invasive puncture has an advantage over small bone flap craniotomy in the operation time, hospitalization stay, reduction of neurological deficit and recovery of daily living activities.

Key words: Hypertensive cerebral hemorrhage, Minimally invasive puncture, Small bone flap craniotomy, Curative effect