高血压脑出血CT定位微创血肿清除术治疗体会

目的探讨高血压脑出血微创血肿清除术的手术指征,手术方法及治疗效果。方法回顾性分析了120例高血压脑出血病例,在CT引导下应用YL-I型颅内血肿微创碎吸针清除血肿。加肝素、透明质酸酶、尿激酶冲洗。结果血肿基本消除时间<3d26例,3～5d59例,5～7d30例,>7d5例,再出血9例。肢体偏瘫好转情况:<12h24例,<7d20例,<2周37例,>2周39例。死亡23例。结论CT引导下应用YL-I型血肿碎吸针治疗高血压脑出血,疗效显著。

Objective To evaluate the surgery accorded, surgery method and treatment effect of hypertension Cerebral hemorrhage micro creates the haematoma elimination technitue. Metheds In this retrospective study , 120 patients with hypertension cerebral hemorrhage were included which ulilizes the YL-I skull under the CT guidance the haematoma micro to create garrulous magnetic needle elimination haematoma,Then flushed with the heparin, the hyaluronidase and the urokinase. Results The elementary eliminatiou time of haematoma was 26 patients in 3 days, 59 patients between 3 and 5 days, 30 patients between 5 and 7 days, 5 patients beyond 7 days, 9 patients again bleeds （7.5%） . The body hemiparalysis change into the better situation 24 patients in 12 hours, 20 patients in 7 days, 37 patients in 2 weeks and 39 patients beyond 2 weeks, 23 patients died （ 19. 3% ） . Conclusion The curatine effect is remarkable to treat the hypertension cerebral hemorrhaye with the YL-I haematoma garrulous magnetic needle under the CT guidance.