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山东大学学报（医学版） ›› 2017, Vol. 55 ›› Issue (5): 61-65.doi: 10.6040/j.issn.1671-7554.0.2016.1439

• 临床医学 • 上一篇    下一篇

CT定位微创徒手穿刺软通道技术治疗中等量高血压脑出血68例

王维军,周宁全,王超   

  1. 贵州省黔南州人民医院神经外科, 贵州 都匀 558000
  • 收稿日期:2016-11-04 出版日期:2017-05-10 发布日期:2017-05-10
  • 通讯作者: 王维军. E-mail:751829615@qq.com E-mail:751829615@qq.com

Treatment of 68 cases of moderate volume of hypertensive intracerebral hemorrhage with free hand technique of minimally invasive puncture of the soft channel under CT orientation

WANG Weijun, ZHOU Ningquan, WANG Chao   

  1. Department of Neurosurgery, The Peoples Hospital of QianNan, Duyun 558000, Guizhou, China
  • Received:2016-11-04 Online:2017-05-10 Published:2017-05-10

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摘要： 目的 探讨CT定位微创徒手穿刺软通道技术治疗中等量高血压脑出血的治疗效果。 方法 回顾分析158例20~40 mL高血压脑出血患者的治疗效果,其中采用微创手术68例(微创手术组),非手术治疗90例(非手术组),术后随访1个月。对患者死亡率、血肿清除时间、神经功能缺损等临床资料进行分析总结。 结果 死亡率:微创手术组2.90%,非手术组16.88%,二者差异有统计学意义(P<0.05);血肿完全引流/吸收平均时间:微创手术组(5±2.1)d,非手术组(21±3.5)d,二者差异有统计学意义(P<0.05);NIHSS评分:治疗后1个月,微创组明显低于非手术组(P<0.01)。 结论 微创手术治疗中等量高血压脑出血疗效可靠,血肿清除时间短,死亡率较低。

关键词: 高血压脑出血, 微创手术, 徒手穿刺, 软通道技术, 电子计算机断层扫描(CT)

Abstract: Objective To explore the efficacy of mini-invasive surgical treatment of moderate volume of hypertensive intracerebral hemorrhage. Methods The clinical data of 158 cases of hypertensive intracerebral hemorrhage(20- 40 mL)treated during Nov. 2011 and June 2015 were retrospectively analyzed. Of all patients, 68 underwent minimally invasive surgery(mini-invasive group), and 90 received non-surgical treatment(non-surgical group). The patients were followed up for 1 month. The mortality, hematoma evacuation time, and score of National Institutes of Health Stroke Scale were compared between the 2 groups. Results The mortality was 2.90% in the mini-invasive group, and 16.88% in the non-surgical group, with significant difference between the 2 groups(P<0.05). The hematoma evacuation time was 5±2.1 days in the mini-invasive group, and 21±3.5 days in the non-surgical group, with significant difference between the 2 groups(P<0.05). One month after treatment, the NIHSS score in the mini-invasive group was significantly lower than that in the non-surgical group (P<0.01). Conclusion Mini-invasive surgical treatment of moderate volume of hypertensive intracerebral hemorrhage is reliable, with short hematoma evacuation time and low mortality.

Key words: Hypertensive intracerebral hemorrhage, Minimally invasive surgery, Computed Tomography, Free hand puncture, Soft channel technique

中图分类号: 

  • R743.34
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