术中实时CT监测下软通道穿刺清除脑内血肿的临床效果  

Effect of Removal of Intracerebral Hematoma by Soft Channel Puncture under Real-time Intraoperative CT Monitoring

作　　者：朱道平[1] 卢智[1] 李奕秋 沈冠豪[1] ZHU Daoping;LU Zhi;LI Yiqiu;SHEN Guanhao(Yingde People's Hospital,Yingde 513000,China)

机构地区：[1]英德市人民医院,广东英德513000

出　　处：《中国医药指南》2021年第29期88-89,92,共3页Guide of China Medicine

摘　　要：目的探讨术中于CT实时监测下经软通道穿刺清除脑内血肿的临床效果。方法回顾性分析我院在2018年1月至2020年11月收治的60例脑溢血脑内血肿患者的临床资料,按照手术方案的不同分成对照组、观察组,各30例,分别行骨瓣开颅血肿清除术、CT实时监测软通道穿刺血肿清除术。比较两组的临床疗效。结果在实施手术前,两组患者血肿量比较无差异(P>0.05);观察组术后1 d、术后3 d的血肿量均低于对照组(P<0.05);在实施手术前,两组患者的NIHSS、ADL评分比较无差异(P>0.05);相比手术前,观察组、对照组术后NIHSS、ADL评分均有改善,且观察组改善幅度更大(P<0.05);观察组治疗总有效率明显高于对照组(P<0.05)。结论术中于实时CT监测下软通道穿刺清除患者脑内血肿的效果显著,不仅可有效清除血肿组织,同时可显著改善神经功能缺损情况和日常生活活动能力。Objective To study the clinical effect of intraoperative removal of intracerebral hematoma through soft channel puncture under real-time CT monitoring.Methods The clinical data of 60 patients with intracerebral hematoma admitted to our hospital from January 2018 to November 2020 were retrospectively analyzed,and divided into control group and observation group with 30 patients in each group according to different surgical plan.The hematoma removal by craniotomy with bone flap and the hematoma removal by real-time CT monitoring soft channel puncture were performed respectively.Clinical efficacy was compared between groups.Results Before operation,there was no significant difference in hematoma volume between the two groups(P>0.05).Hematoma volume of the observation group was lower than that of the control group on 1 day and 3 days after operation(P<0.05).Before operation,there was no significant difference in NIHSS and ADL scores between the two groups(P>0.05)The NIHSS and ADL scores of the control group were improved,and the improvement of the observation group was more significant(P<0.05);the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Intraoperative real-time CT monitoring of soft channel puncture in patients with intracerebral hematoma has a significant effect,not only the hematoma tissue can be effectively removed,but also can significantly improve the neurological deficit and activities of daily living.

关 键 词：脑内血肿 CT实时监测 软通道穿刺术 神经功能缺损 

分 类 号：R739.41[医药卫生—肿瘤]