三边测量法在脑出血穿刺引流术中的应用  

Application of trilateral measurement in puncture drainage of cerebral hemorrhage

作　　者：刘小印 王传宝 张超[1] 李惊涛[1] 郭强[1] 刘宁[2] LIU Xiaoyin;WANG Chuanbao;ZHANG Chao;LI Jingtao;GUO Qiang;LIU Ning(Hanzhong Central Hospital,Hanzhong,Shaanxi,723099;Ningqiang County Tianjin Hospital,Hanzhong,Shaanxi,724499)

机构地区：[1]陕西省汉中市中心医院,陕西汉中723099 [2]陕西省宁强县天津医院,陕西汉中724499

出　　处：《实用临床医药杂志》2019年第12期8-11,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨三边测量法在脑出血穿刺引流中的应用效果。方法回顾性分析57例采用软通道脑内血肿穿刺引流术治疗高血压脑出血患者的临床资料,依据血肿定位方式不同将其分为实验组(三边测量法)和对照组(简易定位法),比较2组患者穿刺准确率、72h内血肿清除率及术后6个月格拉斯哥预后量表(GOS)评分。结果实验组的穿刺准确率、72h内血肿清除率及术后6个月GOS评分均显著高于对照组(P<0.05)。结论应用三边测量法可使高血压脑出血穿刺引流术定位更准确,并提高72h血肿清除率及术后GOS评分,有助于患者早期康复。Objective To explore effect of trilateral measuremrnt in puncture drainage of cerebral hemorrhage. Methods Clinical data of 57 patients with hypertensive intracerebral hemorrhage treated with soft channel intracerebral hematoma puncture was retrospectively analyzed. According to different hematoma localization methods, all the cases were divided into experimental group (trilateral measurement method) and control group (simple positioning method). Puncture accuracy, clearance rate of hematoma at 72 h, Glasgow Outcome Scale(GOS)scores were compared between the two groups. Results The accuracy rate of puncture, clearance rate of hematoma at 72 h and GOS scores at 6 months after operation in the experimental group were higher than those of control group ( P <0.05). Conclusion The use of trilateration can make the location of hypertensive cerebral hemorrhage puncture drainage more accurate, and improve the 72 h clearance rate and postoperative GOS scores, which is helpful for early rehabilitation.

关 键 词：脑出血穿刺引流术 血肿定位 三边测量法 高血压脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]