钻孔抽吸并置管注入尿激酶外引流术治疗高血压脑出血疗效分析

The aspiration of CT-guided UK drill drainge in the treatment of hypertensive intracerebral hemorrhage

目的初步讨论钻孔抽吸并置管注入尿激酶（UK）外引流术治疗高血压脑出血的适应证、手术时机及脑内应用UK的安全性。方法 1997年6月~2012年6月,应用本手术治疗高血压脑出血25例,完成3个月以上的随访,并与传统开颅术、内科治疗各25例疗效进行对比研究。用日常生活能力标准（ADL）及病死率来评价。结果手术组ADL113例（52%）,死亡2例（8%）,传统开颅组ADL10例,死亡8例（32%）,内科治疗组ADL15例（20%）,死亡7例（28%）。结论钻孔抽吸并置管注入尿激酶外引流术治疗高血压脑出血,手术病死率及致残率低,功能预后优于传统开颅、内科治疗。

Objective To discuss the indictions and safety of CT-guided UK drill drainge in the treatment of hypertensive intracerebral hemorrhage.Methods 75 patients were divided into three groups randomly from Jun 1997 to Jun 2012,25 patients treated by UK drill drainge,25 patients by conventional open craniotomy（COC）,25 patients by conservation.Results 13 cases recovered to ADL1 13（52%）,2（8%） died in UK drill drainage,ADL1 0,8（32%） died in COC,ADL1 5（20%）,7（28%） died in conservation.Conclusion CT-guided UK drill drainge are better than COC and conservation with more favorable outcome and less postoperative mortality and morbidity.Aspiration of UK are safety in the treatment.