微创穿刺治疗高血压基底节脑出血水肿带变化的临床疗效观察

Clinical effective study of edema zone change of hypertensive basal ganglia hemorrhage treated by minimally invasive puncture

目的:探讨高血压性基底节脑出血微创穿刺和尿激酶注入的临床效果。方法:应用YL-1型颅内血肿穿刺针脑内血肿穿刺并持续引流,术后用尿激酶注入血肿腔,通过颅脑CT检查,与保守治疗对比,观察发病后同一天水肿带变化和拔管前后水肿带的变化。结果:两组病人入院时水肿带差异无统计学意义(P>0.05),治疗组病人术后水肿带较术前明显减轻,入院第一、四、五、九天明显低于对照组,差异有统计学意义(P<0.01)。结论:微创穿刺治疗高血压基底节脑出血并尿激酶注入及持续引流,疗效明确,脑组织损伤小,并发症少,预后好。

Objective：To explore the clinical efficacy of minimally invasive puncture,injecting urokinase and drainage in the treatment of hypertensive basal ganglia hemorrhage. Methods：The YL-1 type intracranial hematoma puncture needle was used to perform intracranial hematoma puncture and sustained external drainage. After operation, urokinase was injected into hematoma cavity. By cerebral CT examination,the edema zone change at the same day after onset,before and after extubation were observed and compared with that in the conservative treatment.Results：The edema zone had no statistical difference between the two groups（P〉0.05）.The edema zone after op- eration in the treatment group was significantly alleviated than that before operation. The edema zone on 1,4,5,9 d after admission in the treatment group was obviously lower than that in the control group with statistical significance （P〈0.01）.Conclusion： Minimally invasive puncture combined with urokinase injection and continued external drainage is effective to treat hypertensive basal ganglia hemorrhage with less brain injury, less complications and better prognosis.