"篮筐"技术在颅内动脉瘤介入治疗中的应用

Objective To study the ways,mechanism,indication,curative effect of " Basket" skill applied in the interventional therapy for intracranial aneurysm. Methods Intracranial aneurysm with 1 : 1 ≥ neck/body ≥ 1 : 2 ," 3 D coil" was used to form a basket in it;in that with 1:2 > neck/body,common "2D coil" was applied. And the following coils were applied with hydrocoil or fibered coil combined with common platinum coil to increase the embol-ism density. Results In 156 cases with 158 aneurysms,143 aneurysms were 100% embolized (90. 5% ) ;131 ca-ses discharged with GOS 5 score(84.0% ),and 2 cases died ( 1.3% ). Conclusion " Basket" skill can increase the embolization density in aneurysm,reducing the residual of the neck,getting embolizated fully and improving the prognosis.     

"篮筐"技术在颅内动脉瘤介入治疗中的应用

Objective To study the ways,mechanism,indication,curative effect of " Basket" skill applied in the interventional therapy for intracranial aneurysm. Methods Intracranial aneurysm with 1 : 1 ≥ neck/body ≥ 1 : 2 ," 3 D coil" was used to form a basket in it;in that with 1:2 > neck/body,common "2D coil" was applied. And the following coils were applied with hydrocoil or fibered coil combined with common platinum coil to increase the embol-ism density. Results In 156 cases with 158 aneurysms,143 aneurysms were 100% embolized (90. 5% ) ;131 ca-ses discharged with GOS 5 score(84.0% ),and 2 cases died ( 1.3% ). Conclusion " Basket" skill can increase the embolization density in aneurysm,reducing the residual of the neck,getting embolizated fully and improving the prognosis.     

锁孔手术微创治疗超早期重症高血压脑出血的临床研究

目的探讨超早期锁孔手术治疗重症高血压脑出血的疗效。方法对117例重症高血压脑出血患者在超早期内采用显微镜下锁孔入路手术开颅清除血肿,治疗结果与同症传统开颅手术患者120例作对比。结果锁孔手术组近期疗效、远期疗效均较传统手术组疗效好,术后并发症少。结论超早期锁孔手术治疗高血压脑出血安全、可靠,大大降低了病人残死率,提高了病人的生存质量。     

老年慢性硬膜下血肿的临床诊断及治疗

我院自2001年至2005年共收治经头颅CT或MR确诊的慢性硬膜下血肿病人共计78例，其中60岁以上的老年人65例，占病例总数的83％，可见老年人发病率之高，不容临床医生忽视。现将老年慢性硬膜下血肿的临床诊断及治疗体会总结如下。     

钻孔引流治疗高血压脑出血

1资料与方法 1．1一般资料我院自2001-2005年共收治高血压脑出血病人42例，男26例，女16例，年龄33～78岁，平均年龄43．2岁，发病至手术时间6～16小时。出血位于基底节区14例、丘脑区8例，皮层区14例。破入脑室6例，血肿量在35～70毫升。浅昏迷20例，中度昏迷14例，深昏迷8例，一侧瞳孔散大28例，去大脑强直4例，伴有偏瘫者36例，一侧巴氏征阳性者32例，双侧巴氏征阳性者6例。血压在260～150／140-90毫米汞柱之间。     

骨膜外剥离有限内固定治疗胫腓骨中下1／3螺旋型、斜型骨折

胫腓骨骨折在全身长管壮骨骨折中发病率最高，占各部位骨折2首，约占10％，其中胫腓骨中下1／3螺旋型骨折，斜型骨折非常多见，对此类骨折治疗方法很多，各有利弊。我院从2001年1月1日至2006年4月选择35例此类患者，采用骨膜外剥离有限内因定加前后石膏托外因定治疗取得满意疗效。     

"篮筐"技术在颅内动脉瘤介入治疗中的应用

Objective To study the ways,mechanism,indication,curative effect of " Basket" skill applied in the interventional therapy for intracranial aneurysm. Methods Intracranial aneurysm with 1 : 1 ≥ neck/body ≥ 1 : 2 ," 3 D coil" was used to form a basket in it;in that with 1:2 > neck/body,common "2D coil" was applied. And the following coils were applied with hydrocoil or fibered coil combined with common platinum coil to increase the embol-ism density. Results In 156 cases with 158 aneurysms,143 aneurysms were 100% embolized (90. 5% ) ;131 ca-ses discharged with GOS 5 score(84.0% ),and 2 cases died ( 1.3% ). Conclusion " Basket" skill can increase the embolization density in aneurysm,reducing the residual of the neck,getting embolizated fully and improving the prognosis.     

锁孔手术微创治疗超早期重症高血压脑出血的临床研究

目的探讨超早期锁孔手术治疗重症高血压脑出血的疗效.方法对117例重症高血压脑出血患者在超早期内采用显微镜下锁孔入路手术开颅清除血肿,治疗结果与同症传统开颅手术患者120例作对比.结果锁孔手术组近期疗效、远期疗效均较传统手术组疗效好,术后并发症少.结论超早期锁孔手术治疗高血压脑出血安全、可靠,大大降低了病人残死率,提高了病人的生存质量.     

脊髓肿瘤183例分析

我院1981年至1997年6月共收治183例脊髓肿瘤,报告如下。 1 临床资料 一般资料:男性102例,女性81例、年龄1.5～73岁,平均36.4岁,其中20～50岁132例,常见于青壮年,占72.1％。病程10天至9年,平均0.86年。 肿瘤部位:根据脊髓造影显示阻塞,或MRI脊髓扫描或术中探查证实位于硬膜下脊髓外143例,髓内肿瘤14例,硬脊膜外26例,其中颈段45例,占22.5％,胸段104例,占56.6％,腰骶部34例,占