立体定向血肿排空术治疗高血压性基底节出血的疗效分析  

Analysis of therapeutic effect stereotactic evacuation of hypertensive cerebral hemorrhage in the basal ganglia

作　　者：秦明筠[1] 彭彪[1] 罗冬冬[1] 陈颖东[1] 

机构地区：[1]广州市第一人民医院,510180

出　　处：《中国医学创新》2010年第2期6-7,共2页Medical Innovation of China

摘　　要：目的探讨立体定向脑内血肿排空术治疗高血压性基底节出血的疗效。方法对35例高血压性基底节出血患者采用立体定向脑内血肿穿刺抽吸、尿激酶溶解引流治疗,术后3个月时对患者行日常生活能力分级评定。结果 35例患者手术过程均顺利,基底节血肿均在1周内基本消失。术后3个月日常生活能力分级评定,Ⅰ级10例,Ⅱ级17例,Ⅲ级6例,Ⅳ级2例。结论立体定向血肿排空术治疗高血压性基底节出血具有定位准确、创伤小、操作简单、血肿清除彻底等优点,是治疗高血压性基底节出血的一种有效方法 。Objective To investigate the clinical effect of stereotactic evacuation for hypertensive cerebral hemorrhage in the basal ganglia. Methods 35 patients of hypertensive cerebral hemorrhage in the basal ganglia were first treated with stereotactic hematoma aspiration, and residual hematomas were dissolved with urokinase and drained in a few days after operations. The activities of daily living （ADL） of the patients were assessed 3 months after operations. Results The surgical procedures were successful in 35 cases, with hematomas in the basal ganglia disappeared within 1 week. 10 cases were assessed as ADL grade Ⅰ , 17 cases grade Ⅱ, 6 cases grade Ⅲ, and 2 cases grade Ⅳ 3 months after operations. Conclusion Stereotactic hematoma evacuation is an effective treatment for hypertensive cerebral hemorrhage in basal ganglia,which located accurately, damaged minimally, performed easily and cleaned hematoma thoroughly.

关 键 词：立体定向 高血压脑出血 基底节 

分 类 号：R651.1[医药卫生—外科学]