CT引导下立体定向微创手术与小骨窗开颅术治疗老年高血压合并脑出血患者的可行性研究  

CT Guided Stereotactic Minimally Invasive Surgery and Small Bone Window Craniotomy for Elderly Patients with Hypertension and Cerebral Hemorrhage

作　　者：姚庆海 毛群[1] 张毅 杨川[1] 勾俊龙[1] YAO Qing-hai;MAO Qun;ZHANG Yi;YANG Chuan;GOU Jun-long(Department of Neurosurgery,Tianjin Third Central Hospital Branch,Tianjin 300250)

机构地区：[1]天津市第三中心医院分院神经外科,天津300250

出　　处：《中国医疗器械信息》2021年第8期81-82,共2页China Medical Device Information

摘　　要：目的:分析CT引导下立体定向微创手术与小骨窗开颅术治疗老年高血压合并脑出血患者的可行性。方法:本研究共80例研究对象,均为老年高血压合并脑出血患者,其中40例行小骨窗开颅术治疗的患者列为对照组,另外40例行CT引导下立体定向微创手术治疗的患者列为实验组,观察治疗效果。结果:在手术时间与住院时间上,实验组明显短于对照组;在术中出血量上,实验组少于对照组(P<0.05)。在并发症总发生率上,实验组10.00%明显低于对照组22.50%(P<0.05)结论:老年高血压合并脑出血患者采用CT引导下立体定向微创手术的效果明显。Objective:To analyze the feasibility of CT guided stereotactic minimally invasive surgery and small bone window craniotomy in the treatment of elderly patients with hypertension and cerebral hemorrhage.Methods:A total of 80 patients with hypertension and cerebral hemorrhage in the elderly were enrolled in this study.Among them,40 patients treated with small bone window craniotomy were included in the control group,and 40 patients treated with stereotactic minimally invasive surgery under CT guidance were included in the experimental group.Observation of treatment effect.Results:In terms of operation time and hospitalization time,the experimental group was significantly shorter than the control group;in terms of intraoperative bleeding,the experimental group was less than the control group(P<0.05).In the total incidence of complications,10.00%in the experimental group was significantly lower than 22.50%in the control group(P<0.05).Conclusion:The effect of CT guided stereotactic minimally invasive surgery in elderly patients with hypertension and cerebral hemorrhage is obvious.

关 键 词：老年高血压合并脑出血 CT引导下立体定向微创手术 小骨窗开颅术 

分 类 号：R651[医药卫生—外科学]