微创置管吸引术救治高血压脑出血(1)
 |
| 第1页 |
参见附件。
【摘要】 目的 初步探讨应用微创置管吸引术救治高血压脑出血的临床效果及意义。方法 根据患者术前CT或CT片上提供的颅脑立体定位数据，采用微创定向颅内置管装置医疗器械，治疗高血压脑出血患者72例。所有病例术中经单或多靶点径路微创软管脑内血肿抽吸和术后残血尿激酶溶凝引流的方式及对血肿破入脑室积血患者配合腰穿置换治疗。 结果 血肿腔内置管准确率100%。术中血肿清除率和术后残血清除留管时间均值：单靶点径路32.2%和6.5 d，多靶点径路为56.5%和4.5 d，两方法比较有显著意义。结论 微创定向脑内血肿置软管吸引术治疗高血压脑出血是一种定位准确，方法简易，适宜抢救，创伤微小，疗效确切，易于推广的新技术。
【关键词】
微创置管；高血压脑出血；吸引术
Aspiration of hypertensive intracerebral hematoma by minimally invasive tube insertion
KONG Xiangcheng, Luzhong Mining Hospital of Laiwu,Shandong 271113,China
【Abstract】 Objective
To investigate the clinical results and significance of aspirating hypertensive intracerebral hematoma by a sofe tube inserted by minial invasive technigue. Methods According to the stereotactic data of CT or CTfilm in preoperative patients, 72 cases with hypertensive intracerebral hematoma were treated by the apparatus. All patients were treated by the aspiration of a minimaltrauma softtube by a single or more target approaches and the tube was left as drainage in place for further administration of unokinase and aspiration of the residual dissolved hematoma. Lumbar punctures for the replacement fluid with blood were also done with intraventricular hematomas. Results The accuracy of installing tubes into the cavity of hematomas was 100%. 32.2% of volume of the hematoma was evacuated during operations and the drainaging time was 6.5 days in a single target approach,56.5% hematoma was evacuated and 4.5 days drainage was in the more target approaches in average. The results of two approaches were compared significantly. Conclusion The aspiration of hypertensive intracerebral hematoma by minimaltrauma stereotactic installed soft tube in the hematoma is a new technique, which has been proved to be accurate, effective, simple, and with minimal trauma to the patient.
【Key words】
Minimaltrauma installed tube; Hypertensive intracerebral hematoma; Aspiration
高血压脑出血为临床常见病，随着社会老龄化加大，其发病率呈上升趋势，病死率和致残率极高。无论是保守治疗还是开颅手术，其病死率和致残率均维持在较高水平。自2008年以来，我们采用微创定向颅内置软管吸引术，治疗高血压脑出血患者72例，取得了良好疗效，现报告如下。
1 资料与方法
1.1 一般资料 72例，其中男48例，女24例。年龄37~82岁，平均58岁 ......
您现在查看是摘要介绍页，详见PDF附件(3857kb)。