多方式微创穿刺手术治疗幕上脑出血的临床观察

Efficacy of cerebral hemorrhage on a multi-mode minimally invasive surgery

目的探讨微创穿刺手术治疗幕上脑出血的疗效和手术方式。方法回顾性分析98例采用了微创手术治疗的幕上脑出血患者的临床资料,比较手术前后血肿量、GCS、NIHSS评分变化,并统计了手术方式的不同。结果手术前后血肿量显著减少、GCS、NIHSS评分显著改善,死亡2例,自动放弃5例。手术方式多样:进针数1~3根,以单针为主;钻颅部位以颞叶为主,额叶次之;穿刺类型以硬通道为主,软通道次之。结论微创穿刺手术治疗脑出血安全有效,方式选择可以多样化和个体化。

Objective To investigate the efficacy of cerebral hemorrhage on a multi-mode minimally invasive surgery.Methods A retrospective analysis of 98 cases of clinical data on the use of minimally invasive surgical treatment of supratentorial cerebral hemorrhage patients.And the hematoma size,GCS,NIHSS score change were compared between preoperative and postoperative,and the different surgical methods were counted. Results The hematoma size was significantly reduced,GCS and NIHSS scores were significantly improved.Only 2 cases died and five cases abandoned treatment.There were diversified surgical ways： the needle need 1 to 3,based in one needle; cranial drill sites based in the temporal lobe,followed by frontal lobe; the main channel of the puncture needle type was hard-channel,and soft-channel followed by. Conclusion Minimally invasive surgery was a safe and effective treatment of cerebral hemorrhage,and mode selection can be diversified and individualized.