应用CT定向经颅钻孔抽吸治疗脑出血(附120例报告)

Treatment of cerebral hemorrhage with CT guided transcranial punching aspiration; A preliminary analysis in 120 cases

目的 评价ＣＴ导向经颅钻孔抽吸治疗脑出血的效果。方法１２０例经ＣＴ证实自发性脑出血（≥４０ｍｌ）患者于临床症状出现后６小时至７日内均接受经颅钻孔抽吸治疗。其中抽吸治疗１次者１００ 例，２次者１５例，３次者５例，抽吸治疗后，全部病例经 ＣＴ复查及临床随访。结果 治疗后随访 ３个月以上的结果表明，除 ４例死亡外，其余 １１６例存活者的临床表现均有不同程度的改善，其中，完全恢复３７例（３０．８％），部分恢复即日常生活能自理４１例（３４．２％），需依杖行走者３４例（２８． ３％），仍卧床休养但意识清楚者 ４例（３． ３％）。总有效率 ９６． ７％。结论 ＣＴ导向颅钻孔抽吸治疗脑出血，比开颅清除血肿手术安全、方便，值得推荐。

Objective To assess the therapeutic efficacy of CT guided transcranial punching aspiration in cerebral hemor- rhage. Methods A Hundred - twenty patients with CT proved spontaneous cerebral hemorrhage(≥40ml) undenwent CT guided transcranial punching aspiration treatment within 6 h to 7 days after onset of clinical symptoms, of them, once aspiration in 100 patients, twice in 15, and three times in 5, After the aspiration treatment, all patients underwent CT reexamination and clinical following - up. Results Obsevations followed - up more than three months suggested that clinical manifestations in 116 patients showed the improvement to different extent except 4 patients died, in whom complete recovery (n = 37 ) comprised 30. 8% partial recovery (n = 41 ) comprised 34. 2%, walk with stick (n = 34 ) comprised 28. 3%, and keep the bed but resurgence(n = 4) comprised 3. 3%. Total effective rate in this group patients was 96. 7% Conclusion CT guided transcranial punching aspiration treatment of cerebral hemorrhage is more safe and convenient than craniotomy removal of hematoma and therefore it is worth to recomend the coneservative treatment.