CAJ | 학술논문

目的：总结超早期微创穿刺引流术治疗基底节区脑出血临床疗效。方法：将2011年2月－2014年8月确诊为基底节区脑出血行微创穿刺引流术治疗的107例按发病至手术时间分为两组，A 组（n＝55）发病至手术时间＜6 h，B 组（n＝52）发病至手术时间为6－48 h；比较两组患者出院 GOS 结局评分（GOS）、3个月随访的改良Rankin 评分（MRS）和术后脑血肿量变化。结果：A 组 Mares 和 GOS 评分均明显优于 B 组（P＜0．05）；两组术后脑血肿量变化无明显差异（P＞0．05）。结论：超早期微创穿刺引流术治疗基底节区脑出血的疗效好，有助于改善患者神经功能及生活能力。
목적：총결초조기미창천자인류술치료기저절구뇌출혈림상료효。방법：장2011년2월－2014년8월학진위기저절구뇌출혈행미창천자인류술치료적107례안발병지수술시간분위량조，A 조（n＝55）발병지수술시간＜6 h，B 조（n＝52）발병지수술시간위6－48 h；비교량조환자출원 GOS 결국평분（GOS）、3개월수방적개량Rankin 평분（MRS）화술후뇌혈종량변화。결과：A 조 Mares 화 GOS 평분균명현우우 B 조（P＜0．05）；량조술후뇌혈종량변화무명현차이（P＞0．05）。결론：초조기미창천자인류술치료기저절구뇌출혈적료효호，유조우개선환자신경공능급생활능력。
Objective: To summarize the clinical efficacy of patients with basal ganglion hemorrhage treated by ultra-early minimally invasive drainage. Methods:107 patients with basal ganglion hemorrhage underwent minimally invasive drainage were divided into Group A (<6 h,n=55) and Group B (6-48 h,n=52) according to the operation time. Glasgow outcome scale (GOS), Modified Rankin Scale (MRS) and the changes of postoperative cerebral hematoma were compared between the two groups. Results: MRS and GOS in group A were significantly better than those in the group B (both P<0.05). The change of postoperative cerebral hematoma was no statistically significant between the two groups(P>0.05). Conclusions: It is an effective procedure for patients with basal ganglion hemorrhage treated by Ultra-early minimally invasive drainage and is helpful to improve the nerve function and life quality.