定向软通道治疗基底节区自发性脑出血的研究

Study on treatment of 35 cases of spontaneous intracerebral hemorrhage in basal ganglion by stereotactic soft channel evacuation

目的探讨应用定向软通道治疗基底节区高血压脑出血的疗效。方法对35例基底节区高血压脑出血患者施行定向软通道技术清除血肿,并结合术后CT片上的残留血肿量进行尿激酶灌注溶凝治疗。结果 35例患者中死亡1例,存活34例,其中意识清醒32例,植物生存2例。近期疗效评定,格拉斯哥预后量表（GOS）评分优良者23例;远期疗效评定,ADLⅠ~Ⅲ级者26例。结论定向软通道技术定位精确、操作简便、安全、损伤小,治疗基底节区高血压脑出血的临床效果良好。

Objective To explore the effect of application of stereotactic soft channel evacuation in treatment of hypertensive cerebral hemorrhage in basal ganglia. Method Directional soft channel technology was used to remove the hematoma in 35 cases of hypertensive cerebral hemorrhage of basal ganglion,adjuvant with urokinase according to the amount of residual hematoma by postoperative CT scan. Results Among the 35 patients,1 died,34 survived.Among them,consciousness in 32 cases and vegitative survival in 2. The excellent efficacy evaluation of Glasgow outcome scale（ GOS） was in 23 cases,long term effect evaluation of ADLⅠ-Ⅲ was in 26 cases. Conclusion The stereotactic soft channel technology can fix a position accurately,with simple and safe operation,less damage,lower cost,and is suitable for the treatment of hypertensive intracerebral hemorrhage of basal ganglion.