新型颅脑穿刺定位器结合新型头颅CT定位贴片辅助软通道穿刺引流术治疗高血压脑出血

目的探讨新型颅脑穿刺定位器结合新型头颅CT定位贴片辅助软通道穿刺引流术治疗高血压脑出血的应用效果及其临床意义。 方法选取湖州市中心医院神经外科自2014年1月至2015年12月行颅内血肿软通道穿刺引流术的45例高血压脑出血患者作为对照组，应用普通心电电极片CT定位法辅助穿刺；选取2016年1月至2018年7月行颅内血肿软通道穿刺引流术的48例高血压脑出血患者作为观察组，应用新型颅脑穿刺定位器结合新型头颅CT定位贴片辅助穿刺。对比2组患者的手术治疗效果和临床预后，并对新型颅脑穿刺定位器结合新型头颅CT定位贴片辅助定位法的经济性和实用性进行分析。 结果与对照组比较，观察组术中出血量更少，血肿清除率更高，且差异均具有统计学意（P<0.05）；2组患者的手术时间比较，差异无统计学意义（P>0.05）；观察组住院时间少于对照组，且术后3个月的预后优于对照组，差异具有统计学意义（P<0.05）。 结论新型颅脑穿刺定位器结合新型头颅CT定位贴片辅助软通道穿刺引流术治疗高血压脑出血可以提高穿刺定位准确性及颅内血肿清除率，减少术中出血量，从而改善患者预后，提高生存质量，适宜在广大基层医院开展。

New craniocerebral puncture locator combined with new head CT positioning patch assisted soft-channel puncture drainage treatment of hypertensive cerebral hemorrhage

ObjectiveTo investigate the application and significance of the new type of craniocerebral puncture locator combined with new head CT positioning patch assisted soft-channel puncture drainage in the treatment of hypertensive cerebral hemorrhage. MethodsForty-five patients with hypertensive cerebral hemorrhage who underwent intracranial hematoma soft-channel puncture and drainage in the Department of Neurosurgery, Huzhou Central Hospital from January 2014 to December 2015 were selected as the control group, and the common ECG electrode slice was used to assist the puncture. On the other hand, 48 patients with hypertensive cerebral hemorrhage who underwent intracranial hematoma soft-channel puncture and drainage from January 2016 to July 2018 were selected as observation group. The new cranial puncture locator was combined with the new cranial CT positioning patch to assist the puncture. The patient’s surgical treatment effect and clinical prognosis were compared. At the same time, the economics and practicability of the new cranial puncture locator combined with the new cranial CT positioning patch-assisted positioning method were analyzed. ResultsCompared with the control group, the amount of bleeding in the observation group was less, the clearance rate of hematoma was higher and the difference was statistically significant (P<0.05). There was no significant difference between the two groups in terms of operation time (P>0.05). The hospital stay in the observation group was less than that in the control group. The prognosis at 3 months after surgery in the observation group was better than that in the control group and the difference was statistically significant (P<0.05). ConclusionThe new craniocerebral puncture locator combined with new head CT positioning patch assisted soft-channel puncture drainage for the treatment of hypertensive cerebral hemorrhage can improve the accuracy of puncture positioning and intracranial hematoma clearance, reduce intraoperative blood loss. It can improve patients’ prognosis and improve the quality of life. So it is suitable to development in the primary hospitals.