CAJ | 학술논문

目的：探讨小骨窗结合显微外科技术治疗基底节区高血压脑出血的临床疗效。方法选择38例基底节区高血压脑出血中等血肿量（血肿量30～60 mL）患者，随机分为2组，分别行小骨窗显微外科治疗及小骨窗一般手术治疗，根据日常生活能力（ADL）分级法评定疗效，比较其半年后的预后效果。结果显微外科组 ADL 评分（78±15），对照组为（50±19），2组比较差异有统计学意义（P ＜0．05）。结论对于治疗中等量基底节区高血压脑出血，小骨窗结合显微外科技术较传统手术疗效佳。
목적：탐토소골창결합현미외과기술치료기저절구고혈압뇌출혈적림상료효。방법선택38례기저절구고혈압뇌출혈중등혈종량（혈종량30～60 mL）환자，수궤분위2조，분별행소골창현미외과치료급소골창일반수술치료，근거일상생활능력（ADL）분급법평정료효，비교기반년후적예후효과。결과현미외과조 ADL 평분（78±15），대조조위（50±19），2조비교차이유통계학의의（P ＜0．05）。결론대우치료중등량기저절구고혈압뇌출혈，소골창결합현미외과기술교전통수술료효가。
Objective To explore the clinical effect of small bone flap craniotomy combined with microsurgery on treatment of hypertensive cerebral hemorrhage in basal ganglia region.Meth-ods 38 patients with hypertensive cerebral hemorrhage in basal ganglia region (medium volume of hematoma,30~60 mL)were randomly divided into two groups.Microsurgery group was treated with small bone flap craniotomy combined with microsurgery,while the control group was treated with small bone flap craniotomy.A prognosis was compared between two groups half a year after treatment.Results ADL score was (78 ±15)in microsurgery group,which was significantly higher than (50±19)in control group.Conclusion Small bone flap craniotomy combined with microsurgery is more effective than normal surgery in treating patients with medium hematoma vol-ume of hypertensive cerebral hemorrhage in basal ganglia region.