CT立体定向术治疗高血压丘脑出血(附2例报告)

Hypertensive Thalamic Hematoma Treated by CT Stereotactic Evacuation (With Two Cases Reports)

目的 探讨高血压丘脑出血外科治疗的新方法。方法 采用CT立体定向血肿清除的外科方法对 2例中度昏迷的丘脑出血病人进行治疗。结果 2例病人在术后一周神志逐渐清醒 ,瘫痪肢体功能部分恢复。其中 1例已能生活自理。结论 CT立体定向血肿清除术治疗高血压丘脑出血具有创伤小 ,手术并发症少 ,疗效好的优点 ,可作为首选的外科治疗方法。

Objective To investigate new surgical method to treat hypertensive thalamic hematoma.Methods Two medial-degree coma patients with hypertensive thalamic hematoma were treated by CT stereotactic evacuation.Results One week after operation the two patients regained consciousness. The function of paraplegic appendage restored partly, and one patient could take care of himself.Conclusion CT stereotactic evacuation to treat hypertensive thalamic hematoma has the advantages of small trauma, little complication and good clinical results. We suggest that it be selected firstly in treating hypertensive thalamic hematoma.