摘要
目的探讨枕部经小脑幕入路立体定向微创血肿清除术治疗脑桥出血的可行性。方法采用枕部经小脑幕入路立体定向微创血肿清除术治疗5例脑桥出血患者。入颅穿刺部位取血肿同侧枕外粗隆上3cm、旁开3cm。血肿穿刺针到达小脑幕后先用克氏针刺破小脑幕,再继续穿刺进入血肿腔,并抽吸、引流血肿。结果 5例手术均获成功,术中无死亡。30d病死率为20%,GOS-E评分平均为3分。结论枕部经小脑幕入路立体定向微创血肿清除术治疗脑桥出血是安全有效的。
Objective To evaluate the feasibility of stereotactic minimally traumatic puncture drainage therapy via occipital transtentorial approach on the pontine hematoma. Methods Five patients with pontine hemorrhage had received stereotactic minimally traumatic puncture drainage therapy via occipital transtentorial approach. The puncture sites of cranial access were at 3 cm superior and lateral to the external occipital protuberance. The tentorium of cerebellum should be punctured with a Kirschner wire while the tip of the puncture needle touched the tentorium, followed by puncturing, aspirating, and draining the hematoma. Results All of the five patients were successfully operated with the stereotactic minimally traumatic puncture drainage therapy via occipital transtentorial approach. None of them died during operation. The fatality rate after 30 days was 20% ,and the average GOS-E score was 3. Conclusions The stereotactic minimally traumatic puncture drainage therapy via occipital transtentorial approach on the brain stem hematoma is safety and effective.
出处
《中华临床医师杂志（电子版）》
CAS
2013年第9期136-138,共3页
Chinese Journal of Clinicians(Electronic Edition)
基金
国家自然科学基金(61072033)
关键词
脑干出血
创伤性
立体定向
血肿清除术
Brain stem hemorrhage,traumatic
Stereotactic operation
Evacuation of hematoma
