CAJ | 학술논문

目的：探讨微创穿刺血肿清除术治疗基底节区高血压脑出血的临床疗效。方法选取行微创穿刺血肿清除术治疗的高血压基底节区脑出血患者61例作为观察组，选取同期行内科保守治疗的高血压基底节区脑出血患者47例作为对照组。比较两组患者神经功能恢复情况、血肿清除率、日常生活活动能力及死亡情况。结果微创穿刺清除术患者治疗3周后神经功能缺损评分、血肿清除率及治疗后3个月的日常生活活动能力恢复情况均明显优于对照组（P＜0．05）。微创穿刺清除术患者的病死率略低于对照组，差异无统计学意义（P＞0．05）。结论微创穿刺引流术治疗基底节区脑出血手术创伤小、血肿清除率高，有利于患者神经功能缺损的恢复。
목적：탐토미창천자혈종청제술치료기저절구고혈압뇌출혈적림상료효。방법선취행미창천자혈종청제술치료적고혈압기저절구뇌출혈환자61례작위관찰조，선취동기행내과보수치료적고혈압기저절구뇌출혈환자47례작위대조조。비교량조환자신경공능회복정황、혈종청제솔、일상생활활동능력급사망정황。결과미창천자청제술환자치료3주후신경공능결손평분、혈종청제솔급치료후3개월적일상생활활동능력회복정황균명현우우대조조（P＜0．05）。미창천자청제술환자적병사솔략저우대조조，차이무통계학의의（P＞0．05）。결론미창천자인류술치료기저절구뇌출혈수술창상소、혈종청제솔고，유리우환자신경공능결손적회복。
Objective To summarize the clinical efficacy of minimally invasive surgery for the treatment of cer-ebral hemorrhage in basal ganglion .Methods A total of 6 1 cases of basal ganglia hemorrhage caused by hyperten-sion were chosen as treatment group,which were treated by minimally invasive hematoma in our hospital from January in 2009 to June in 2012,and 47 patients with cerebral hemorrhage caused by hypertension were selected as control group,which were treated by conservative therapy.The recovery of neurological function,hematoma clearance rate,ac-tivities of daily living and death were compared between the two groups.Results After 3 weeks and 3 months treat-ment,the recovery of neurological function,hematoma clearance rate and activities of daily living in treatment group were significantly higher than that in control group (P<0.05 ),and mortality of treatment group was slightly lower than that of the control group,but no significant different (P>0.05).Conclusion The treatment of minimally inva-sive surgery for cerebral hemorrhage in basal ganglion is associated with less surgical trauma,lower medical costs, shorter operative time,higher hematoma clearance rateand,fewer complications.