微创介入颅内出血(血肿)清除术的临床应用研究

CLINICAL APPLICATION OF MICROTRAUMATIC INTERVENING TECHNOLOGY IN THE TREATMENT OF INTRACRANIAL HEMORRHAGE OR HEMATOMA

目的 探讨微创介入颅内出血 (血肿 )清除术治疗重症颅内出血性疾病的疗效。方法 应用“微创介入颅内出血 (血肿 )清除术”系列手术 ,治疗高血压脑出血 ( HIH)、脑室出血、蛛网膜下腔出血 ( SAH)、慢性硬膜下血肿等颅内出血性疾病 1 2 2例。结果 存活 92例 ,死亡 30例 ,病死率2 4 .59%。 87例随访 1～ 30个月 ,按日常生活活动 ( ADL)量表 Barthel指数 ( BI)记分 ,ADL14 3例 ,ADL2 1 9例 ,ADL3 1 4例 ,ADL4 7例 ,ADL54例。结论 该技术创伤小 ,效果好 ,在神经内科开展此项手术 ,有利于病人的急救、系统性治疗与康复。

Objective To explore the application of microtraumatic intervening technology in the treatment of patients with intracranial hemorrhage or hematoma.Methods 122 cases of hypertensive intracranial hemorrhage(HIH),ventricular hemorrhage,subdural hematoma were treated through microtraumatic intervening technology.Results 92 cases survived and 30 died(24.59%).Follow up surveys of 87 cases were made in the following 30 months.According to Barthel indexes(BI) of activities of daily life(ADL),43 cases,19 cases,14 cases,7cases and 4 cases were classified into ADL 1 5 respectively.Conclusion Microtraumatic intervening technology can be applied to neuromedical operation for its simplicity and good curative effects.