颅内血肿微创穿刺清除技术治疗基底节区脑出血

被引：12

作者：

许峰

朱遂强

唐洲平

骆翔

石元洪

胡伟

机构：

[1] 华中科技大学同济医学院附属同济医院神经内科

来源：

华中科技大学学报(医学版) | 2009年 / 38卷 / 06期

关键词：

脑出血; 微创手术;

D O I：

暂无

中图分类号：

R651.156 [];

学科分类号：

摘要：

目的介绍一种经过改良的血肿抽吸和引流方法治疗基底节区脑出血——颅内血肿微创穿刺清除技术。方法在CT辅助下对颅内血肿进行人工定位后,将直径3 mm的导管插入血肿,谨慎抽吸,之后反复复查CT并注入尿激酶引流,直至引流管尖端周围血肿消失。记录患者的临床特征,比较术前和拔管前的血肿体积、中线位移,格拉斯哥昏迷量表(GCS)评分。结果接受该方法治疗的16例患者拔管前血肿体积明显小于术前血肿(P<0.01),血肿清除率平均为87%;术前和拔管前中线位移的平均长度分别为(10.96±2.78)、(3.30±1.85)mm,拔管前中线位移明显小于术前(P<0.01);拔管前患者GCS评分平均为(14.25±1.00),较术前(8.25±2.24)增加了6分(P<0.01)。术后6个月随访,14例患者(87.5%)神经功能恢复良好,2例患者(12.5%)遗留严重残疾。结论颅内血肿微创穿刺清除技术是大面积基底节区脑出血切实可行的、安全的微创治疗方法。

引用

页码：836 / 839

页数：4

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