立体定向治疗高血压脑出血与开颅血肿清除术疗效比较

Contrast of Effectiveness for Stereotactictie and Craniotomy for Hypertensive Intracerebral Hemorrhage

目的:评价立体定向抽吸术的疗效,探讨其治疗时机及死亡原因.方法:术前CT大片三维定位,局麻下电钻经皮颅骨钻孔,置管于血肿腔,术后尿激酶冲洗,与基本相同条件下开颅血肿清除术疗效比较.结果:治疗组血肿初次清除率在55%,总清除率78%,随访6个月ADLⅠ～Ⅲ级与对照组有显著性差异,死亡率较开颅组显著降低.结论:立体定向抽吸术具有创伤小、手术时间短、疗效确切.在掌握良好适应征基础上具有良好的治疗效果,是一种值得推广的术式.

Objective： To evaluate the effect of stereotactic aspiration for hypertensive intracerebral hemorrhage. Methods： The effect of the hypertensive intracerebral hemorrhage treated with CT- assisted stereotactic operation was compared to general craniotomy. Results： Hemorrhage evacution rate for stereotacfic group was 55%. ADL Ⅰ～Ⅲ of patients after 6 months in stereotactic groupwas singnificantly improved than in control group and the former mortality was reduced. Conclusion： Stereotacfic aspiration has advantage of small trauma,short process and credible effect. It is good for applicable technology.