神经导航引导下硬通道多靶点穿刺引流治疗高血压脑出血48例疗效分析

发布时间：2018-05-08 10:31

  本文选题：高血压脑出血 + 神经导航　； 参考：《华中科技大学学报(医学版)》2017年01期

【摘要】：目的探讨神经导航引导下硬通道多靶点穿刺引流术治疗高血压脑出血的疗效。方法 2013年6月至2015年12月,采用神经导航引导下硬通道多靶点穿刺引流手术治疗高血压脑出血患者48例,对其进行临床分析。结果术后复查头颅CT测算血肿清除率:2d内血肿全部清除6例、次全清除12例、大部分清除22例、部分清除8例;4 d内血肿全部清除16例、次全清除20例、大部分清除8例、部分清除4例;4 d以上血肿全部清除42例、次全清除4例、大部分清除1例、部分清除1例。术后3个月按日常生活能力分级:Ⅰ级20例(41.7%);Ⅱ级8例(16.7%);Ⅲ级12例(25.0%);Ⅳ级6例(12.5%);Ⅴ级2例(4.1%)。结论神经导航引导下硬通道多靶点穿刺引流治疗高血压脑出血操作简便、定位准确、手术风险低、损伤小、安全性高,可降低患者死亡率及致残率,有较好的临床应用价值。
[Abstract]:Objective to investigate the effect of multitarget puncture and drainage guided by neuronavigation on hypertensive intracerebral hemorrhage (hypertensive intracerebral hemorrhage). Methods from June 2013 to December 2015, 48 patients with hypertensive intracerebral hemorrhage were treated with neuronavigation-guided multi-target puncture and drainage. Results the hematoma clearance rate was calculated by CT in 6 cases, subtotal clearance in 12 cases, partial clearance in 22 cases, partial clearance in 16 cases, subtotal removal in 20 cases, and partial removal in 8 cases. Partial removal of hematoma occurred in 42 cases, subtotal removal in 4 cases, partial removal in 1 case and partial removal in 1 case. At 3 months after operation, there were 20 cases with grade 鈪，

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