摘要
目的探讨长方体定位排空术救治高血压脑出血的临床效果及意义。方法回顾性总结采用长方体定位置软管血肿排空术救治206例高血压脑出血的手术经验,根据出血部位、临床神经功能分级及身体状况等分组统计结果并予以分析。结果术中血肿引流超过90%23例,术后24h内引流超过95%37例,2～3d引流超过85%130例,4d～1周引流超过80%16例。对143例病人于拔管前行CT血管造影重建,均未见穿刺路径重要血管损伤。术后1个月,GOS5～4分108例(52.43%),病死率0.97%(2例);术后6个月,180例获随访,其中GOS评分5～4分113例(62.78%)。结论长方体定位排空术具有定位准确、创伤小、安全有效、简便快捷、费用低廉、可床边救治等优点,适用于对高血压脑出血的救治。
Objective To explore the clinical efficacy and significance of CT-gnidad stereotactic evacuation for hypertensive intracerebral hematoma treatment. Methods The clinical experience of hypertensive intracerebral hemorrhage of 206 cases treated with CT-guided stereotactic evacuation was retrospectively analyzed. According to the bleeding site, clinical neural functional classification and physical status, patients were divided into several groups and the data was analyzed. Results Hematoma volume was evacuated more than 90% during the operation in 23 cases, more than 95% 24 hours post-operation in 37, more than 85% 2-3 days post-operation in 130, and more than 80% 4-7 days post-operation in 16. CT angiography was performed in 143 cases before extubation and no serious injury of important vessels was found. One month after the operation, GOS score achieved 4-5 in 108 patients （54.42%）, and the mortality was 0.97%. 6-month follow up revealed the GOS score achieved 4-5 in 113 （62.78%） out of 180 patients. Conclusion CT-guided stereotactic evacuation can be applied at the bedside with accurate location, minimal invasion, high efficacy and safety, easy operation, and low cost, being a suitable therapeutic means for hypertensive intracerebral hematoma.
出处
《中国微侵袭神经外科杂志》
CAS
北大核心
2009年第5期213-215,共3页
Chinese Journal of Minimally Invasive Neurosurgery
基金
国家十一五科技支撑计划(编号:2007BA107A13)
关键词
颅内出血
高血压性
立体定位技术
引流术
hemorrhage, hypertensive intracerebral
stereotaxic techniques
drainage
