【摘要】 目的 探讨超早期微创手术治疗高血压脑出血疗效和预后，同传统大骨瓣开颅进行比较，分析二者在死亡率、预后、平均住院天数、医疗消耗等方面的差异。方法 回顾分析2003年5月～2005年5月期间超早期手术治疗的35例高血压脑出血患者，与2003年5月以前大骨瓣开颅手术治疗的高血压脑出血患者54例，比较二者在死亡率、预后、医疗费用方面的差异。结果 超早期手术组死亡率为14.2%，大骨瓣开颅组死亡率为15.4%(P>0.05)。经过6个月～3年随访，超早期手术组患者恢复良好率为64.3%，大骨瓣开颅组为48.2%(P<0.05)。两组之间平均住院天数分别为：超早期组16.2天，大骨瓣开颅组：19.5天(P<0.05)。平均住院费用二者分别为：超早期组9546.12(元)，大骨瓣开颅组：12123.28(元)(P<0.05)。结论 超早期微创手术治疗高血压脑出血患者预后优于大骨瓣开颅组，平均住院天数降低，医疗消耗减少。对于合适患者应尽早进行微创手术治疗。

    【关键词】 高血压脑出血；手术治疗；随访；预后

    The comparison between the super-early miniinvasive operation and traditional craniotomy for the hypertensive cerebral hemorrhage

    JIN Wen,WANG Da-peng.Department of Brain Surgery,The First Hospital of Mudanjiang City,Heilongjiang 157000,China

    【Abstract】 Objective To investigate the prognosis and effects of super-early miniinvasive operation for hypertensive cerebral hemorrhage. Compare the miniinvasive operation with the craniotomy and conclude the difference in morbidity, prognosis, mean hospital days and medical consume between the two methods.Methods 35 case of hypertensive cerebral hemorrhage were treated from May 2003 to May 2005. And 54 cases of the same disease were treated with the craniotomy before May 2003.Results The mortality of the two methods (miniinvasive operation vs craniotomy)is 14.1% and 15.2% respectively. At the end of follow up, the good outcome for the two groups is 64.36% and 48.2% (P<0.05). There was a significant difference between the mean hospital days and medical consume between the two groups.Conclusion Miniinvasive operation in super-early time for the hypertensive cerebral hemorrhage is a good selection for these patients. It can decreases the medical consume and mean hospital days, at the same time, it can increase the good outcome for the hypertensive cerebral hemorrhage. ......