CT导向立体定位多靶点脑内血肿穿刺吸除术治疗高血压脑出血  

CT-quided stereotactic aspiration of hypertensive intracerebral hematoma using a multiple target points aspiration technique

作　　者：苏长保[1] 任祖渊[1] 杨义[1] 李舜伟[1] 王任直[1] 徐林[1] 付海洪[1] 王伟刚[1] 

机构地区：[1]中国医学科学院北京协和医院神经外科

出　　处：《中华神经外科杂志》1995年第S1期23-25,77,共4页Chinese Journal of Neurosurgery

基　　金：国家"八五"攻关课题

摘　　要：报道４０例高血压脑出血手术治疗的病例，重点总结２４例经ＣＴ导向立体定位多靶点穿刺吸除脑内血肿的经验。虽急性期血肿以凝血块为主，穿刺抽吸难度较大，然本技术可一次手术吸除各期血肿，吸除率达７０％以上，未应用局部溶栓药物和引流，术后死亡率为１７％，远期功能恢复达优良级者（生活自理）占５９％。本文介绍多靶点穿刺吸除血肿技术，对高血压脑出血手术适应证，术式选择。Abstract Fourly cases of hypertensive intracerebral hemorrhage treated by operation between Jan,1992 and July,1995 are reported.The emphasis of this report lies in summing up experience of 24 cases of intracerebral hematoma treated by CT-guided stereotactic multiple target points aspiration.Acute hemotamas were difficult to aspirate because of coagulated blood mass.The technique reported was able to remove the hematomas occurring with varying stage including acute hematoma.The aspirated rate of hematomas was over 70% in one stage.No hematoma-lysis method was required in these cases except for one of intraventricular hematoma.The postoperative mortality was 16.7%.The long-term follow-up showed that excellence and good were in 58.8% of the cases.The aspiration technique is presented in detail.The indication.selection of method,timing of operation and influenced factor of operative results are also discussed in this paper.

关 键 词：高血压 脑出血 CT导向 立体定位手术 

分 类 号：R651.12[医药卫生—外科学]