CT引导下穿刺颅内血肿清除术的临床应用

CT-aided Clinical Practice of Clearance of Acupuncture Intracranial Hematoma

目的探讨CT引导下颅内穿刺行血肿清除术的临床应用价值。方法本文总结了67例颅内血肿（其中高血压性脑出血54例，慢性硬膜下血肿11例，急性硬膜外血肿2例）行CT引导下穿刺清除术。结果本组病例一次穿刺成功率100％，穿刺抽吸术后，病死率明显降低（8．9％），生存率（9I．1％）及生存质量明显提高，其疗效高于其他疗法。结论（1）CT不仅在颅内血肿的诊断上有不可替代的作用，而且在颅内血肿穿刺定位定向上也有较大的应用价值；（2）尿激酶对清除颅内残存血肿，解除梗阻具有重要作用。

Objective The study of the value of CT-aided clinical practice of clearance of acupuncture intracranial hematoma. Methods 67 patients suffering from infracranial hematoma（54 patients, hypertension cerebral hemorrhage;ll patients,chronic dural hematoma;2 patients, acute external hematoma）are operated on by CT-aided ciearance of acupuncture Intracranial Hematoma.Results 100% of the patients are cured ailer one puncture and suction.And the death rate is decreased （8.9%）;surrial rate（91.1%）and possibility of briously living is increased.The curative effects is better than that of any other method. Conclusion CT not only has unchangeable effect on intracranial hematoma diagnosis,but more practical value in the location and orientation of intracranial hematoma puncture.The advantages of this skill have accaraey, sligtcr wound,less nerve injury, which are easily accepted by both patients and relations.