神经导航三维重建立体定向手术治疗脑内血肿

Stereotaxis Operation on Intracerebral Hemorrhage under Three-dimensional Reconstruction with Neuronavigation

目的探讨脑内血肿经神经导航系统三维重建定位后脑立体定向手术的效果。方法 41例脑内血肿患者,经神经导航三维重建定位后,用立体定向手术排除脑内血肿,血肿腔内置管引流的疗效进行回顾性分析。结果恢复良好31例,占75.6%;轻残3例,占7.3%;中残2例,占4.9%;重残3例,占7.3%;死亡2例,占4.9%。结论该术式定位准确,一次性抽吸残留血肿量少,损伤小,再出血发生率低,手术效果好。

Objective To investigate effect of stereotaxis operation on cerebral hemorrhage under three-dimensional reconstruction with neuronavigation. Methods The cerebral hemorrhage of 41 patients was drawn by stereotaxis technique after three-dimensional reconstruction with neuronavigation.The effect was analyzed and discussed retrospectively. Results Thirty-one cases（75.6%） recovered with good curative effect,3 cases（7.3%） were with slight disability,2 cases（4.9%） with moderate disability,3 cases（7.3%） with severe disability and 2 cases（4.9%） with death. Conclusion Cerebral hemorrhage puncture and drainage under three-dimensional reconstruction with neuronavigation shows advantages such as accurate location,minimal invasion,low residual hematoma volume and low rate of rehaemorrhagia,and has good treatment effect.