| 高血压脑出血破入脑室的CT导引外科治疗应用报告 |
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| 引用本文： | 张延平,吕长春,张继芬,张攀,吴铁军,王京全. 高血压脑出血破入脑室的CT导引外科治疗应用报告[J]. 中华神经医学杂志, 2003, 2(6): 433-435 |
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| 作者姓名： | 张延平 吕长春 张继芬 张攀 吴铁军 王京全 |
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| 作者单位： | 山东淄博矿业集团公司中心医院神经外科,山东,淄博,255120 |
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| 摘 要： | 目的：介绍高血压脑内血肿并破人脑室系统微侵袭手术新方法的应用。方法：首先CT扫描定出X、Y、Z坐标，确定血肿靶点在颅腔内位置。钻颅置入F14导管抽吸排空血肿和引流，并与开颅方法进行比较。结果：93例血肿消失时间分别为4d 15例，5d 53例，7d 20例，10d 5例，其中6例死亡(占6．5％)。结论：应用本研究证实CT导引行单管排空血肿及脑室内积血是完全可行的。
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| 关 键 词： | 高血压 脑出血 脑室 CT 外科 治疗 手术 血肿 |
| 文章编号： | 1671-8925(2003)06-433-03 |
| 修稿时间： | 2002-09-25 |
Application of minimally invasive CT-guided surgery in the treatment of hypertensive intracerebral hemorrhage disrupting into intraventricular system |
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| ZHANG Yanping,Lu Changchun,ZHANG Jifen,ZHANG Pan,WU Tiejun,WANG Jingquan. Application of minimally invasive CT-guided surgery in the treatment of hypertensive intracerebral hemorrhage disrupting into intraventricular system[J]. Chinese Journal of Neuromedicine, 2003, 2(6): 433-435 |
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| Authors: | ZHANG Yanping Lu Changchun ZHANG Jifen ZHANG Pan WU Tiejun WANG Jingquan |
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| Abstract: | Objective To introduce a new method of minimally invasive operation of hypertensive intracerebral hemorrhage disrupting into intraventricular system. Methods The hemorrhage in 93 cases was localized by establishment of X, Y and Z coordinates via CT. A hole was drilled and an F14 catheter was inserted for the purpose of evacuation and drainage of hemorrhage. The treating efficacy was compared with that of craniotomy. Results Among the 93 cases, the hemorrhage in 15 cases disappeared in 4 days, 53 cases in 5 days, 20 cases in 7 days and 5 in 10 days, and 6 cases died (taking up 6.5 %). Conclusion Application of minimally invasive CT-guided surgery in the treatment of hypertensive intracerebral hemorrhage disrupting into intraventricular system is feasible. |
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| Keywords: | hypertension intracerebral hemorrhage minimally invasive surgery |
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