CT立体定向微创血肿抽吸术治疗高龄高血压脑出血疗效及安全性评价

目的:评价分析术中CT立体定向微创颅内血肿抽吸术治疗高龄高血压脑出血的临床疗效及安全性。方法:收集2013年1月²014年3月56例高龄高血压脑出血患者,随机分为治疗组和对照组各28例。对照组术前CT扫描定位血肿部位,术中全麻下颅骨钻孔,用脑穿针行血肿抽吸。治疗组采用术中CT立体定向引导下全麻行颅骨钻孔,用脑穿针行血肿抽吸。结果:治疗组所有患者均安全完成手术,术中对正常脑组织损伤小,术后并发症少,成功率、有效率高;而且治疗组患者血肿吸收时间、住院时间明显缩短,术后神经功能恢复及日常生活活动能力明显改善。结论:术中CT立体定向微创血肿抽吸术治疗高龄高血压脑出血疗效确切,安全性高,对正常脑组织损伤小,值得大样本临床观察及研究。

Safty and Efficacy Evaluation on CT Stereotactic Minimally Invasive Hematoma Aspiration for Elderly Patients with Hypertensive Cerebral Hemorrhage

Objective： To evaluate and analyze the effect and safety o f CT stereotactic minimally invasive intracranial hematoma aspiration in treatment of elderly patients with hypertensive cerebral hemorrhage. Methods： From January 2013 to March 2014, 56 Elderly patients with hypertensive cerebral hemorrhage were selected and ramdomly divided into two groups, treatment group and control group,each consisting of 28 patients. Patients in the control group had CT scan and their cerebral hematomas were located under anesthetized condition. Later, they were given cranial drilling and needle hematoma aspiration. Patients in the treatment group were given CT scan and their hematomas located, later they were given CT-guided stereotactic anesthesia for cerebral drilling and needle hematoma aspiration.Results： All patients in the treatment group were safe during the operation and their healthy cerebral tissue witnessed less damage. There were also fewer cases of complication after the operation and the success rate stood high. Conclusion： The effect of CT stereotactic minimally invasive hematoma aspiration in the treatment of hypertensive cerebral hemorrhage is both safer and more effective. The treatment causes less damage in cerebral tissue and is worth of further clinical study with more patients involved.