立体定向手术治疗小脑出血16例临床分析  

Clinical analysis of stereotactic operation on 16 cases with cerebellar hemorrhage

作　　者：李凤强[1] 张兴春[1] 赵英志[1] 于守波[1] 刘丽娟[2] 

机构地区：[1]吉林省前卫医院神经外科,吉林长春130012 [2]吉林省前卫医院手术室,吉林长春130012

出　　处：《吉林医学》2006年第11期1351-1352,共2页Jilin Medical Journal

摘　　要：目的:探讨立体定向手术治疗小脑出血的手术方法及治疗效果。方法:采用国产FY-98II型立体定向仪,通过CT定位,计算以小脑血肿最大横截面中心为靶点的三维坐标,在定位系统引导下向靶点置管抽吸尿激酶灌洗引流治疗小脑出血16例。结果:16例均获成功,无手术死亡。术后因脑干功能衰竭、消化道出血死亡4例。随访6个月～2年(平均16个月,),ADL评定I级3例,Ⅱ级7例,Ⅲ级2例。结论:立体定向手术治疗小脑出血定位准确,安全可靠,疗效满意。Objective To investigate operation methods and curative effects of stereotactic operation in the treatment of cerebellar homorrhage. Method Using FY98-Ⅱ stereotactic apparatus and the three-dimension coordinates of targets which located in the center of maximal transverse section of Cerebellar hematoma were calculated by CT scanning, 16 cases of cerebellar homorrhage were treated with putting pipe and flushing with urokinase into the coordinate of hematoma by stereotactic system. Results 16 cases were all success, and no operational death and complications occur. 4 cases were dead after operation because of brainstem function failure and upper digestive tract blooding. 12 parents survived after operation and were followed up for 6-24 months （16 months average）. Assessment with Activities of Daily Living （ADL） scale showed 3 cases of grade Ⅰ, 7 cases of grade Ⅱ, and 2 cases of grade Ⅲ. Conclusion Stereotactic operation has the advantages of accurate location, highly reliability and satisfactory effects in the treatment of cerebelhr homorrhage.

关 键 词：小脑 出血 立体定向手术 

分 类 号：R651.1[医药卫生—外科学]