CT定位下微创穿刺引流术治疗脑出血的临床研究

目的探讨CT定位对微创穿刺引流术治疗脑出血的临床价值研究。方法选取2013年1月-2015年1月在我院诊断治疗的脑出血患者83例为研究对象,对患者入院后多次CT扫描以及微创穿刺引流术治疗临床资料进行综合分析。结果 83例患者在CT定位下进行微创穿刺引流术,术后首次血肿清除率小于20%有8例,20-50%有19例,血肿清除率大于50%有56例,50.6%(42/83)的患者血肿清除率较高。血肿完全消除时间小于3天的有9例,3到8天的有64例,血肿完全消除时间的大于8天的有10例,87.9%(73/83)患者的血肿能在8天内完全消除。根据CT影像,56例颅骨钻孔或小骨窗定位准确。结论 CT扫描能有效的对脑出血的部位、血量等进行评估,极大减小了微创穿刺引流术治疗脑出血时导致大脑血管及分支处的损伤,以及穿刺治疗时血管损伤的可能,在对患者进行微创穿刺引流治疗的选择和定位提供精准、可靠的信息,值得在临床应用中广泛应用,是一种安全可靠、非常具有实用价值的手段。

Clinical Study of Minimally Invasive Puncture and Drainage Under CT in the Treatment of Cerebral Hemorrhage

Objective To investigate the clinical value of minimally invasive puncture and drainage under CT in the treatment of cerebral hemorrhage. Methods 83 cases of cerebral hemorrhage in our hospital from January 2013 to January 2015 were selected as the subjects, and the clinical data of CT scanning and mini-invasive puncture and drainage were analyzed. Results 83 patients of cerebral hemorrhage undertook mini-invasive puncture and drainage under CT, 8 cases with the first hematoma clearance rate less than 20%, 19 cases with the rate of 20-50%, 56 cases with hematoma clearance rate more than 50%, 50.6% (42/83)patients with high hematoma removal rate. There were 9 cases with hematoma clearance time less than 3 days, 64 cases with hematoma clearance time from 3 to 8 days, 10 cases with hematoma clearance time over 8 days, and 87.9%(73/83) patients' hematoma were completely eliminated in 8 days. According to the CT images, 56 cases of skull drilling or small bone window were located accurately. Conclusion CT scan can effectively get the exact location of bleeding and calculate the volume of the intracerebral hemorrhage, which reduced the damage to the blood vessels in the brain and branches when using minimally invasive puncture drainage for treatment of cerebral hemorrhage, and reduced the possibility of vascular injury greatly. It provides accurate and reliable information for patients to undertake minimally invasive puncture drainage treatment and to choose of the puncture location, which is widely used in clinical application. It is a safe, reliable methods which has practical value.