对比分析微创穿刺引流术与内科保守法在治疗幕上自发性脑出血疗效的差异。

回顾性分析北京市顺义区医院神经外科自2014年1月至2017年6月收治的幕上自发性脑出血患者173例（出血量20~40 mL）的临床资料，分为微创穿刺引流术组和内科保守治疗组，分别统计2组的入院时出血量、入院时GCS评分、7 d后残余血肿量、7 d后GCS评分及3个月后GOS评分。

2组均出现死亡病例，但短期死亡率差异无统计学意义；治疗7 d后微创穿刺引流术组较内科保守治疗组残余血肿量、GCS评分差异有统计学意义（P<0.05），3个月后微创穿刺引流术组GOS评分较内科保守治疗组差异有统计学意义（P<0.05）。

微创穿刺引流术在治疗中等量幕上自发性脑出血中较保守治疗存在优势，可以改善患者的神经功能，改善患者预后。

To compare the curative effect of microinvasive puncturatio drainage and conservative treatment on supratentorial spontaneous intracerebral hemorrhage.

Retrospectively study was performed on 173 patients with supratentorial spontaneous intracerebral hemorrhage (amount of bleeding 20-40 mL) from January 2014 to June 2017. They were divided into microinvasive puncturatio drainage group and conservative medical treatment group. Blood loss on admission, GCS score on admission, remaining hematoma volume after 7 d of admission, GCS score after 7 d of admission, and GOS score after 3 months of admission for the patient between those two groups were recorded.

There were death cases in both groups, but the short-term mortality had no significant difference(P>0.05). The effect of microinvasive puncturatio was drainage statistically different(P<0.05) to the effect of conservative treatment on the remaining hematoma volume and GCS score after 7 d of admission, length of hospital stay. The GOS score of microinvasive puncturatio drainage was higher than conservative treatment group, after three months of admission (P<0.05).

Microinvasive puncturatio drainage is prior to conservative treatment in the treatment of spontaneous intracerebral hemorrhage in several aspects, such as it can obviously optimize neurological function and improve the prognosis to patients.