CT监护立体定向抽吸治疗外伤性基底节区血肿

CT-guidied stereotactic aspiration applied in the treatment of traumatic basal ganglia hematoma

目的探索外伤性基底区节血肿的外科治疗方法。方法采用CT监护立体定向抽吸治疗外伤性基本底节血肿16例。血肿位于基底节壳核13例,丘脑3例;血肿大小:20～30ml4例,31～60ml11例,>60ml1例,平均39.6ml;抽吸时间:外伤后6～12小时4例,13～48小时8例,>48小时4例;血肿抽出量18～42ml,平均28.7ml,其中4例分二期抽吸。结果死亡1例,存活15例(ADL1n=4,ADL2n=5,ADL3n=4,ADL4n=2)。结论外伤性基底节血肿采用CT监护立体定向抽吸治疗是安全有效的。

Objective To study on CT-guided stereotactic aspiration for traumatic bases ganglia hematoma.Meth ods Sixteen cases of traumatic bases ganglia hematomas were treated by CT-guided stereotactic aspiration.Thirteen cases were located in putamen and3cases in thalamus.The hematoma amount ranged from20ml to68ml ,with amount average39.6ml.In all patients,aspiration operation were performed with6～12hours in4,13～48hours in8,over48hours in4from in jury.Re sults One case died and15case s survived(ADL 1 n=4,ADL 2 n=5,ADL 3 n=4,ADL 4 n=2).Conclu sion CT-guided stereotactic aspiration for treating traumatic bases ganglia hematomas is safe and efficient.[