摘要： 探讨高血压性基底节中等量（20～40 ml）出血患者不同治疗方法的预后与转归。共226 例患者分别接受药物及支持治疗（76 例）、钻孔引流术（94 例）和小骨窗血肿清除术（56 例），结果显示，治愈和轻残率分别为保守治疗组23 例占30.26%、钻孔引流术组50 例占53.19%、小骨窗血肿清除术17 例占30.36%；中残、重残和死亡为保守组53例占69.74%、钻孔引流术组44例占46.81%、小骨窗血肿清除术组39 例占69.64%。提示钻孔引流术治疗高血压性基底节中等量出血患者疗效优于保守治疗和小骨窗血肿清除术，且安全可靠。

关键词: 颅内出血, 高血压性, 基底神经节, 药物疗法, 引流术, 颅骨切开术

Abstract: This paper aims to investigate the curative effect of different treatment approaches for hypertensive basal ganglia hemorrhage at medium amount. The curative effect of different treatment approaches for 226 patients with hypertensive basal ganglia hemorrhage from 20 ml to 40 ml was analyzed. There were 76 cases accepting conservative treatment, 94 burr hole drainage and 56 keyhole approach craniotomy. The patients' life quality was evaluated 3 months after operation. Of fully recovered and mildly disabled patients, 23 patients (30.26% ) were in conservative group, 50 (53.19% ) in burr hole drainage group, and 17 (30.36%) in craniotomy group. Of moderately, severely disabled or dead patients, 53 patients (69.74%) were in conservative group, 44 (46.81%) in burr hole drainage group, and 39 (69.64%)in craniotomy group. The burr hole drainage for treating hypertensive basal ganglia hemorrhage at medium amount had a better outcome than other two methods.

Key words: Intracranial hemorrhage, hypertensive, Basal ganglia, Drug therapy, Drainage, Craniotomy