摘要
目的探讨CT定向下血肿排空术治疗高血压脑出血的应用和特点.方法回顾分析1组应用立体定向头架在CT定位下穿刺抽吸脑内血肿的病例.结果该术式治疗脑出血效果良好,本组32例患者随访6-10个月,31例存活,生活自理占12例,基本自理4例,卧床不能自理15例.1例死于神经源性肺水肿.结论CT引导立体定向血肿排空手术是降低脑出血死亡率及致残率、提高生存质量的有效方法,该方法创伤性小,准确度高,适合于深部血肿治疗.
Objective To evaluatethe applicationof CT-guidedstereotacticevacuationin the treatmentof cerebral hemorrhagein hypertensivepatients.Methods A retrospectiveanalysiswas conductedof32hypertensivepatientswith cerebralhemorrhagewho underwentCT-guidedstereotacticevacuation.Results Thehematomaswereeffectivelyremoved afterthesurgicalprocedure.Follow-upvisitof thepatientslastingfor6to10monthsfoundthat31patientssurvived,among whom12hadtotalrecoveryandcouldliveindependently,4livedwithtolerableindependencewhile15werebedriddenand requiredassistance.Deathoccurredin1casedue to neurogenicpulmonaryedema.Conclusion CT-guidedstereotactic evacuationis effectiveto reducemortalityanddisabilityrateof patientswithcerebralhemorrhage,improvingtheirqualityof life.Dueto themeritof minimalinvasionandhighprecision,thistechniqueis mostapplicablein thetreatmentof deep cerebralhematoma.
出处
《第一军医大学学报》
CSCD
北大核心
2002年第1期88-89,共2页
Journal of First Military Medical University
