计算机辅助立体定向血肿碎吸引流术治疗高血压脑出血幕上小血肿  

Computer Assisted Stereotactic Aspiration and Drainage for Small Supratentorial Hematomas from Hypertensive Intracerebral Hemorrhage

作　　者：杜勇健[1] 张桂兰[1] 王华[1] 

机构地区：[1]济南市第五人民医院神经外科

出　　处：《中国现代手术学杂志》2004年第3期175-177,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的　探讨计算机辅助立体定向血肿碎吸引流术治疗高血压脑出血幕上小血肿的临床价值。　方法　自 2 0 0 1年 6月起 ,应用计算机辅助立体定向血肿碎吸引流术治疗高血压脑出血幕上小血肿 4 2例。　结果　本组术后一月进行疗效评定 ,基本痊愈 11例 ,显著好转 19例 ,好转 8例 ,无变化 4例。有效率达 71.4 % ,显效率达 90 .5 %。神经功能缺损评分 6 .9± 2 .1。治疗期间发生呼吸道感染、泌尿系统感染、应激性溃疡等并发症 11例 ,随访 3个月无死亡病例。　结论　对于高血压脑出血幕上小血肿 ,立体定向血肿碎吸引流术是一种安全、简便、有效的微创手术 ,但不宜于超早期内 (<7h)Objective To evaluate the clinical application of computer assisted stereotactic aspiration and drainaige for small supratentorial hematomas resulted from hypertensive intracerebral hemorrhage. Methods 42 patients of small suprateontorial hematoma were treated by computer aided stereotactic aspiration and hematoma cavity drainage. The therapeutic evaluation was made one month later. Results In one month, 11 cases got basic recovery, 19 got remarkbly improved, 8 got improved, and 4 remained no improvement. The effective rate was 71.4%, and the improving rate was 90.5%. The defficiency value was 6.9±2.1. Complications as pulmonary infection, urinary infection and stress ulcer were occurred in 11 cases. During the 3 months follow-up no case died. Conclusion Computer aided stereotactic aspiration and hemotoma cavity drainage is a minimal invasive procedure with advantages of simplicity, safety and effectiveness for the treatment of small supratentorial hemotomas, but it is not suitable to be used within 7 hours after cerebral hemorrhage.

关 键 词：计算机辅助 立体定向 血肿碎吸引流术 治疗 高血压脑出血 幕上小血肿 

分 类 号：R651.1[医药卫生—外科学]