摘要： 共288 例幕上脑出血患者分别接受钻孔引流术（140 例）和血肿清除术（148 例）。通过分析术前意识状态分级和出血量与6 个月后患者病残率和病死率间的关系，获得钻孔引流术与神经外科手术之间的分界标准，并探讨幕上脑出血患者的合理手术方式。

关键词: 脑出血, 引流术, 神经外科手术

Abstract: The study involved a total of 288 patients with supratentorial cerebral hemorrhage who were surgically treated. Among them 140 patients underwent trepanation and drainage, and the other 148 patients underwent evacuation of hematoma. Through analyzing Glasgow Coma Scale (GCS) and the volume of hemorrhage before operation and after 6 months were related with the patients' disability rate and mortality rate. The delimitation standards of drainage and craniotomy were explored, and the reasonable techniques of supratentorial cerebral hemorrhage were investigated．

Key words: Cerebral hemorrhage, Drainage, Neurosurgical procedures