高血压脑出血微创钻孔与CT辅助立体定向钻孔的比较研究

Comparative Study of Hypertensive Intracerebral Hemorrhage Minimally Invasive Drilling and CT Auxiliary Stereo Directional Drilling

目的对比分析高血压脑出血微创钻孔引流术与CT辅助立体定向颅内血肿钻孔引流术的优劣势。方法将62例高血压脑出血患者(出血时间≤8h)随机分成两组,分别给予微创颅内血肿钻孔引流术和CT辅助立体定向颅内血肿钻孔引流术手术治疗,并依据病人意识恢复情况、血肿引流情况、瞳孔变化及肢体功能恢复情况进行对比分析。结果 CT辅助立体定向钻孔引流组7d血肿引流情况明显优于微创钻孔引流组。结论 CT辅助立体定向治疗高血压脑出血可有效缩短脑出血后颅内血肿的引流时间。有效预防或减轻由于下丘脑植物神经功能紊乱所致的胃肠抑制功能的恢复,杜绝或减少应激性溃疡的发生,促进意识状态及患侧肢体功能的恢复。

Objective Comparative analysis of hypertensive intracerebral hemorrhage minimally invasive drilling drainage dimensional directional the intrecranial hematoma drill buckle of the advantages and disadvantages of the drainage. Methods The 62 cases of patients with hypertensive cerebral hemorrhage （ bleeding time ≤8 h） were randomly divided into two groups, were treated with minimally invasive intraeranial hematoma puncture drainage and CT aided stereotactic intracranial hematoma puncture drainage operation treatment,and on the basis of patient consciousness recovery, hematoma drainage situation, the changes of pupil and the recovery of limb function analysis. Results Stereotactic drill drainage group 7d hematoma drainage situation is significantly better than the minimally in- vasive drilling drainage group. Conclusion Stereotactic treatment of hypertensive cerebral hemorrhage can effectively shorten the time of drainage of intracranial hematoma after intracerebral hemorrhage. Effective in preventing or mitigating the induced gastrointestinal auto- nomic dysfunction due to hypothalamic inhibition of functional recovery,to eliminate or reduce the occurrence of stress ulcer, promote awareness of state and the restoration of the affected limb function.