简易立体定向微创治疗高血压脑出血  

Simple stereotactic minimally invasive drainage for hypertensive intracerebral hemorrhage

作　　者：陈状[1] 戴学军[1] 公方和[1] 温锦崇[1] 王伟民[1] 

机构地区：[1]广州军区广州总医院神经外科,510010

出　　处：《中国微侵袭神经外科杂志》2015年第6期253-255,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的总结一次性简易立体定向系统微创钻孔治疗高血压脑出血的初步经验。方法回顾性分析26例高血压脑出血病例资料,均应用一次性简易立定向系统,结合软通道技术,微创钻孔引流治疗。结果全部病例均一次性置管成功,术后再出血1例。无颅内感染和死亡病例。随访3～6个月,采用ADL（日常生活能力）分级法,ADLⅠ级3例、Ⅱ级9例、Ⅲ级12例、Ⅳ级2例。结论应用一次性简易立体定向系统、微创钻孔引流治疗高血压脑出血具有操作简便、定位准确、血肿引流效果好、手术安全等优点,值得临床推广和应用。Objective To review the primary experience with use of minimally invasive burr hole drainage with simple and disposable stereotactic device in the treatment of hypertensive intracerebral hemorrhage （HICH）. Methods The clinical data of 26 HICH patients were analyzed retrospectively. All the patients were treated by disposable and simple stereotactic mini-invasive burr hole drainage in combination with soft catheter technology. Results All the cases were cathetered successfully by single use and postoperative re-bleeding was observed in one patient. There was no intracerebral infection or death. During follow-up of 3 to 6 months, according to activity of daily living （ADL） scale, there was ADL gradeⅠin 3 cases, gradeⅡin 10, gradeⅢin 12 and grade IV in 2. Conclusions The advantages of disposable and simple stereotactic minimally invasive burr hole drainage for HICH is easy to handle and accurate to position with good efficacy of hematoma drainage and operative safety, thus being worthy of clinical popularization and wide application.

关 键 词：颅内出血 高血压性 立体定位技术 外科手术 最小侵入性 

分 类 号：R651.11[医药卫生—外科学]