摘要
目的总结并探讨B型超声在高血压脑出血微创置管血肿抽吸引流术中的实时探查及对术后病人床旁动态监测的临床意义。方法对17例高血压脑出血和6例脑室出血患者进行术中B超引导探查,术后经颅骨缺损处对术区进行动态监测,并且回顾性分析此23例病人的临床资料。结果19例高血压脑出血病例术中清除血肿70%以上,其中1例出现术后再次出血,经术后床旁B超监测及时发现。6例脑室出血病例中,脑室外引流管均准确位于脑室内,术后复查CT未显示副损伤。23例术前术后CT检查与B超扫查结果基本一致。结论术中B超引导下行颅内血肿微创清除术,具有定位准确、操作快捷的特点,较传统再出血,迟发性血肿具有重要意义。
Objective To discuss the therapeutic effect of B- ultrasound minimally invasive operation in treatment of hypertensive cerebral hemorrhage.Methods 23 patients with hypertensive cerebral hemorrhage treated with minimally invasive operation were analyzed based on the methods and prognosis of operation.Results Removing 80% or more hemorrhage in 11 cases,70% - 80% hemorrhage in 8 cases,and rehernorrhage 2 cases during operation. The curative effectiveness was assessed according to COS scores after 3 months： 19 recovered well,2 moderately disabled, 1 severely disabled and 1 was under vegetative state. Conclusion Application of B - guided minimally invasive operation in treatment of hypertensive cerebral hemorrhage might be feasible which can help to find transposition of brain tissue and rehemorrhage during operation in time,and to improve prognosis of operation.
出处
《黑龙江医学》
2007年第6期432-433,共2页
Heilongjiang Medical Journal
关键词
B型超声
高血压脑出血
微创
B- type ultrasonic
Hypertensive cerebral hemorrhage
Minimally invasive
