摘要
目的观察微创术前血肿扩大后血肿长径、宽径和厚度变化,并探讨微创术的穿刺方案是否随之变化。方法以接受微创术治疗的高血压性脑出血患者为研究对象,将微创术前血肿扩大者列为研究组,其他患者为对照组;记录2组患者例数及研究组首次CT和术前复查CT以及对照组CT的颅内血肿长径、宽径及厚度和2组行单针或双针穿刺治疗的患者例数。结果研究组术前CT所见颅内血肿长径、宽径及血肿涉及层数均大于首次CT所见(P均<0.05);研究组行双针穿刺者的比例大于对照组(P<0.05)。结论若高血压性脑出血患者微创术前血肿扩大后,即血肿的长径、宽径和厚度增加,微创术穿刺方案会可能随之变化。
Objective To observe the change of the length, width and heighth of the enlarged hematoma before micro-invasive surgery of hypertensive cerebral hemorrhage and analyse the adjustment of the protocal. Methods Patients with the miero-invasive surgery of hypertensive cerebral hemorrhage in our department were recruited. The patients with hematoma enlargement before the micro-invasive surgery were included into observing group, the others belong to control group. It was noted that the number of the patients in each group and that of the patients to be performed with the following single-or double-puncture in the procedure. The length, width and heighth of the intracerebral hematoma in the CT of the 2 groups. Results The difference be- tween the length of the primary CT and rechecked CT, between the width of the primary CT and rechecked CT, between the heighth of the primary CT and rechecked CT was significant respectively in observe group. There was significant difference of the ratio of patients with double-puncture between the 2 groups. Conclusions There can be hematoma growth before minimally invasive aspirations of hypertensive cerebral hemorrhage the following puncture protocal may need corresponding adjustment.
出处
《卒中与神经疾病》
2008年第6期345-346,349,共3页
Stroke and Nervous Diseases
基金
国家自然科学基金资助项目(30470603
30570628
30770751)
关键词
脑出血
血肿扩大
微创术
穿刺方案
Intracerebral hemorrahage Hematoma enlargement Micro-invasive surgery Protocal
