高血压基底节出血破入脑室的两种微刨穿刺手术临床比较

Study of two kinds of micro - invasive punctrure and drainage operations for hypertensive basilar ganglion cerebral hemorrhage defeated ventricle

目的：探讨高血压基底节出血破入脑室的微创手术治疗方法。方法：CT定位YL—I型针血肿穿刺＋脑室穿刺置管，结合尿激酶注入溶解引流血肿（39例）与立体定向血肿穿刺＋脑室穿刺置管，尿激酶注入溶解引流血肿（33例）进行对照研究。结果：2组间CT下血肿清除的时间立体定向组（4．5d）明显少于YL—I型针纽（8d）。1个月后疗效的优良率立体定向纽（30．3％）高于YL—I型针纽（20．5％）。结论：立体定向血肿穿刺＋脑室穿刺置管引流手术，是治疗破入脑室的高血压基底节出血疾病较好的一种微创手术方法。

Objective： Research the micro - invasive operation for hypertensive basilar ganglion cerebral hemorrhage defeated ventricle. Methods ：72 eases of patiens with hypertensive basilar ganglion cerebral hemorrhage defeated ventricle were be studied comparatively,39 cases （group A）were treated by punetrure of YL - 1 needle under location of CT , Ventfieular drainage and injection of urokinase after operation,33 cases （Group B） were treated by stereotactie ptmetrure, Ventrlcular drainage and injection of urokinase after operation. Result ：The time of hematoma absorption of Group B （4.5 days） was less than Group A（8 days）. The acceptence rate of Group B（30.3% ） was higher than Group A（20.5% ）. Conclusion： stereotactic punetrure and Ventrleular drainage was an effective micro - invasive operation for hypertensive basilar ganglion cerebral hemorrhage defeated ventricle.