期刊文献+

两点三线交叉定位法在高血压性小脑血肿微创穿刺清除术中的应用效果评价 被引量:3

Efficacy evaluation of cross positioning with two points and three lines in microinvasive craniopuncture for hypertensive cerebellar hematoma
下载PDF
导出
摘要 目的探讨两点三线交叉定位法在微创穿刺小脑血肿清除术中的应用。方法回顾性分析35例高血压性小脑血肿病人的临床资料,均在术前应用两点三线交叉定位法定位血肿,并行微创穿刺血肿清除术,分析定位的准确率、治疗效果、并发症等。结果 35例穿刺针均一次性到达血肿腔中心,穿刺准确率达100%。术后6 h复查CT:与术前设置的穿刺靶点和进针方向偏差≤0.5 cm 22例(62.9%),偏差>0.5~1 cm 13例(37.1%)。术后NHISS评分明显降低,而Barthel指数较术前明显升高,差异均有统计学意义(P<0.05)。术后并发症包括肺部感染3例,消化道出血2例,泌尿系统感染2例,心力衰竭1例。治愈26例(74.3%),好转6例(17.1%),差2例(5.7%),死亡1例(2.9%);总有效率达91.4%。结论应用两点三线交叉定位法对微创穿刺小脑血肿清除进行术前定位,血肿穿刺定位准确率高、创伤小、操作简单、清除血肿快、并发症少,可提高临床疗效和改善病人预后,具有较高的临床应用价值,值得推广应用。 Objective To discuss the application of cross positioning with two points and three lines in microinvasive craniopuncture for cerebellar hematoma. Method Clinical data of 35 patients with hypertensive cerebellar hematoma were analyzed retrospectively, and cross positioning with two points and three lines was performed in all the patients before the operation, then, microinvasive craniopuncture was implemented. The positioning accuracy rate, therapeutic effect and complications were analyzed. Result The puncture needles reached the hematoma by one-time puncture, and the precision rate was 100% in 35 patients. CT 6 h after the operation showed the deviations of the puncture point and puncture direction between preoperation and postoperation was less than or equal to 0.5 cm in 22 patients(62.9%), and the deviations from more than 0.5 cm to 1 cm in 13(37.1%). Compared with preoperation, the NIHSS score obviously decreased and the Barthel index significantly increased after the operation, and the differences were statistically significant(P 〈 0.05). The postoperative complications included pulmonary infection in 3 patients, digestive tract hemorrhage in 2, urinary tract infection in 2 and heart failure in 1 patient. The patients were cured in 26(74.3%), improved in 6(17.1%), achieved bad outcome in 2(5.7%), and died in 1(2.9%). The total response rate was achieved 91.4%. Conclusions The cross positioning with two-points and three-lines before the surgery is useful for locating the hematoma with a high accuracy rate, mini-invasion, simple operation, fast hematoma removal and less complications. In addition, it can improve the clinical effects and prognosis, has high clinical application value and is worthy to be popularized for hypertensive cerebellar hematoma.
作者 杨进华 李泽禹 汪宇雄 熊永辉 麦永清 黎杰明 何德乐 Yang Jinhua, Li Zeyu, Wang Yuxiong, Xiong Yonghui, Mai Yongqing, Li Jieming, He Dele(Department of Neurosurgery, Gaozhou Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine, Guangzhou, Guangdong 525200, Chin)
出处 《中国微侵袭神经外科杂志》 CAS 2018年第3期115-118,共4页 Chinese Journal of Minimally Invasive Neurosurgery
基金 广东省茂名市科技计划项目茂科字(编号:【2016】7号-2016233)
关键词 颅内出血 高血压性 小脑血肿 定位法 两点三线交叉 intracranial hemorrhage, hypertensive cerebellar hematoma cross positioning, method with two-point and three-line
  • 相关文献

参考文献10

二级参考文献82

共引文献333

同被引文献29

引证文献3

二级引证文献17

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部