摘要
目的探讨微创钻孔引流术治疗高血压性脑出血(HBGH)的安全性和疗效。方法 40例诊断为HBGH患者,在CT扫描简易定位后,经单孔穿刺血肿,吸出部分血肿后留置引流。对其临床、影像和预后资料进行回顾性总结。结果本组平均住院时间为(20.5±3.5)d,出院时基本痊愈19例,显著进步12例,进步4例,无变化1例,死亡4例。结论对于出血量较少(<50 mL)且未出现脑疝的HBGH患者,微创钻孔引流术安全有效。
Objective To investigate the safety and effectiveness of minimal invasive drainage holes in treatment of hypertensive basal ganglia hemorrhage(HBGH).Methods Forty patients diagnosed as HBGH were treated by minimal invasive method.The hematoma which was located by CT scanning was aspirated through temporal burr-hole.After that a drainage tube was inserted into the cavity of hematoma.The clinical,radiological and outcome datas of the patients were analyzed retrospectively.Results The mean time of hospitalization was(20.5±3.5) days.The number of patients with good recovery,significant improvement,improvement,no change,and death were 19,11,4,1,and 4,respectively.Conclusion Early minimal invasive treatment by burr-hole and drainage was safe and effective for HBGH with bleeding volume less than 50 mL and no brain herniation.
出处
《神经病学与神经康复学杂志》
2010年第3期132-134,共3页
Journal of Neurology and Neurorehabilitation
关键词
高血压性脑出血
钻孔引流术
微创手术
hypertensive intracerebral hemorrhage
drainage hole
minimally invasive surgery
