摘要：目的： 比较基底核脑出血周围水肿带不同手术的治疗效果。方法： 将我院66例基底核脑出血周围水肿带患者以随机数表法分为观察组与对照组，两组均为33例，观察组采取微创脑内血肿穿刺外流术治疗，对照组采取骨瓣开颅血肿清除术治疗，比较两组术前术后GCS评分变化，并以多田公式计算水肿带体积。结果： 两组术前、术后GCS评分比较无统计学意义(P>0.05)，术后观察组水肿带体积为(26.03±6.34)cm3与对照组(31.34±7.14)cm3比较显著较低，对比差异显著(P<0.05)。结论： 微创脑内血肿穿刺外流术可显著缩小基底核脑出血周围水肿带体积，较传统开颅手术更具优势，应作为优选方案推广应用。

    关键词：基底核脑出血；水肿带；微创手术

    Abstract： Objective To compare the curative effect of different operations on edema zone around basal ganglia intracerebral hemorrhage. Methods 66 cases of patients with edema zone around basal ganglia hemorrhage admitted into the hospital were randomly divided into the observation group and the control group 33 cases in each group. The observation group received minimally invasive surgery of intracerebral hematoma puncture outflow while the control group received the hematoma removal of craniotomy of bone flap. The changes of GCS score of the two groups before and after the operation were compared and the volume of edema zone was calculated with Tada？formula. Results There was no significance of the comparison between the preoperative and postoperative GCS score of two groups (P < 0.05). The volume of the edema zone of the observation group after operation was (26.03 + 6.34) cm3 which was significantly lower than (31.34 + 7.14) cm3 of the control group and the difference was significant (P < 0.05). Conclusion The operation of minimally invasive surgery of intracerebral hematoma puncture outflow can significantly reduce the volume of edema zone around the basal ganglia intracerebral hemorrhage and with more advantages compared with the traditional craniotomy operation ......