CT引导下微创钻孔引流治疗中老年人基底节脑出血

CT-guided puncture and drainage treating middle and aged patients with intracranial hemorrhage in basal ganglia

目的分析CT定位下微创钻孔引流术在中老年人基底节区自发性脑出血患者的临床疗效。方法收集我科2011-06—2012-06收治的57例年龄≥50岁的中老年基底节区出血患者,均经CT下行微创钻孔血肿腔引流术治疗,术后随访3～6个月,分析临床疗效。结果 57例年龄分布:50～83岁,平均64.8岁;出血量:20～85mL,平均37.5mL;术前GCS评分:3～7分13例,8～12分28例,13～14分16例;术后6个月随访时存活51例,死亡6例病例均为术前昏迷患者。结论 CT定位下微创钻孔引流术对中老年人基底节脑出血患者疗效良好,可以考虑作为首选外科治疗方式。

Objective To evaluate the curative effects of minimally invasive CT-guided puncture and drainage treating middle and aged patients with intracranial hemorrhage in basal ganglia.Methods The data of 57 middle and aged patients with spontaneous intracerebral hemorrhage in the basal ganglia were collected,and all patients were performed to treat by CT guided hematoma cavity puncture and drainage.After operation,we had the follow-up for 3 to 6 months to assess the curative effects.Results 57 patients had the 50-83 years old（64.8 years old on average） and the 20-85 ml hemorrhage volume（37.5 mL on average）;Preoperative GCS score was 3-7 in13 cases,8-12 in 28 cases and 13-14 in 16 cases;6 months after treatment,51 patients still survived while 6 cases died in preoperative coma.Conclusion CT-guided puncture and drainage treating middle and aged patients with intracranial hemorrhage in basal ganglia has a good curative effect,which should be paid attention to its application.