CT立体定向血肿排空术治疗高血压脑出血32例

目的 探讨CT定向下血肿排空术治疗高血压脑出血的应用和特点。方法 回顾分析1组应用立体定向头架在CT定位下穿刺抽吸脑内血肿的病例，结果 该术式治疗脑出血效果良好，本组32例患者随访6-10个月，31例存活，生活自理占12例，基本自理4例，卧床不能自理15例，1例死于神经源性肺水肿。结论 CT引导立体定向血肿排空手术是降低脑出血死亡率及致残率，提高生存质量的有效方法，该方法创伤性小，准确度高，适合于深部血肿治疗。

CT-guided stereotactic evacuation of cerebral hemorrhage in hypertensive patients: report of 32 cases]

OBJECTIVE: To evaluate the application of CT-guided stereotactic evacuation in the treatment of cerebral hemorrhage in hypertensive patients. METHODS: A retrospective analysis was conducted of 32 hypertensive patients with cerebral hemorrhage who underwent CT-guided stereotactic evacuation. RESULTS: The hematomas were effectively removed after the surgical procedure. Follow-up visit of the patients lasting for 6 to 10 months found that 31 patients survived, among whom 12 had total recovery and could live independently, 4 lived with tolerable independence while 15 were bedridden and required assistance. Death occurred in 1 case due to neurogenic pulmonary edema. CONCLUSION: CT-guided stereotactic evacuation is effective to reduce mortality and disability rate of patients with cerebral hemorrhage, improving their quality of life. Due to the merit of minimal invasion and high precision, this technique is most applicable in the treatment of deep cerebral hematoma.