64排螺旋CT精准定位血管成像微创术治疗脑出血的临床效果

Clinical effect of 64 slice spiral CT precise positioning angiography minimally invasive surgery in the treatment of cerebral hemorrhage

目的探讨64排螺旋CT精准定位血管成像微创术治疗脑出血的临床效果。方法回顾性分析我院神经内科收治的97例基底节区脑出血患者的临床资料,根据手术方法不同将患者分为传统手术组(开颅或小骨窗穿刺引流,49例)与精准立体定向手术组(64排螺旋CT精准定位血管成像微创术,48例)。比较两组的临床效果。结果精准立体定位手术组死亡或自动出院患者6例(12.50%),传统手术组死亡或自动出院患者11例(22.45%)。术后3 d,精准立体定位手术组的GCS评分高于术前及传统手术组(P<0.05)。术后1周,精准立体定位手术组NIHSS评分低于术前及传统手术组(P<0.05)。结论64排螺旋CT精准定位血管成像微创术治疗脑出血的临床效果显著。

Objective To explore the clinical effect of 64 slice spiral CT precise positioning angiography minimally invasive surgery in the treatment of cerebral hemorrhage.Methods The clinical data of 97 patients with basal ganglia cerebral hemorrhage admitted in neurology department of our hospital were retrospectively analyzed.According to the different surgical methods,the patients were divided into traditional surgery group(craniotomy or small bone window puncture drainage,49 cases)and precise stereotactic surgery group(64 slice spiral CT precise positioning angiography minimally invasive surgery,48 cases).The clinical effects of the two groups were compared.Results Six patients(12.50%)died or discharged automatically in the precise stereotactic surgery group,while 11 patients(22.45%)died or discharged automatically in the traditional surgery group.Three days after operation,the GCS score in the precise stereotactic surgery group was higher than that before operation and in the traditional surgery group(P<0.05).One week after operation,the NIHSS score in the precise stereotactic surgery group was lower than that before operation and in the traditional surgery group(P<0.05).Conclusion The 64 slice spiral CT precise positioning angiography minimally invasive surgery has a significant clinical effect in the treatment of cerebral hemorrhage.