微创锥颅软通道引流治疗颅内血肿

Microinvasive craniopuncture and sof tube drainage applied to curing intracranial hematoma

目的 探讨微创锥颅软通道引流治疗颅内血肿的疗效及其独特优点。方法对颅脑CT确诊的487例颅内血肿患者采用微创锥颅软通道引流治疗。结果出院时按ADL（日常生活能力）分级法，Ⅰ级：完全恢复日常生活97例；Ⅱ级：部分恢复或独立生活204例；Ⅲ级：需人帮助、扶拐可行走113例；Ⅳ级：卧床但保持意识32例，Ⅴ级：植物生存15例。死亡26例。结论微创锥颅软通道引流治疗颅内血肿疗效确切、快速、安全、简便、损伤小、费用低，特别适用于基层医院。

Objective To discuss curative effect and unique advantage of microinvasive craniopuncture and sof tube drainage applied to curing intraeranial hematoma. Methods 487 patients with intraeranial hematoma final diagnosed by computer tomography were cured by way of mieroinvasive craniopuncture and sol tube drainage. Results ADL scale （Activity of Daffy Living Scale, ADL）was used to evaluate outcome of these pa- tients when they were discharged from hospital ：Ⅰ class ： 97 cases, recovered daily life completely; Ⅱ class ： 204 eases,partly recovered or lived independently; In class：113 eases, need help from others and can go about on crutches ; Ⅳ class ：32 cases,lie in bed but keep consciousness; Ⅴ class： 15 cases, turned out to be persistent vegetable state. 26 eases died. Conclusion Indeed therapeutical, quickly, secure, convenient,with tiny damage and low cost, mieroinvasive eraniopuneture and sol tube drainage applied to curing intraeranial hematoma is especially applicable to grassroot hospital.