自发性颅内出血的微创治疗

Minimal invasive treatment for spontaeous intracerebral bemorrhage

目的 本文报道 31例自发性颅内出血的微创治疗。方法 对 31例自发性颅内出血病人行CT或MR检查以定位或定性诊断 ,然后进行微创治疗。结果 显微手术治疗 2 9例 ,血管内栓塞治疗 2例。最常见病因为颅内动静脉畸形。CT、MR是本病最好的诊断方法 ,病因诊断须行脑血管造影。结论 颅内自发性出血或血肿 ,尽可能采取微创方法进行治疗 ,做到清除血肿的同时 ,去除病因 。

Objective: To study 31 paticnts with spontaneous intracerebral hemorrhage by mini-trauma therapy.Methods:31 patients with spontaneous intracerebral hemorrhage were treated by mini-trauma therapy (micrology surgery and/or intravascular treatment) and analysed in etiologic diagnosis. Results: Arterial-Venosive-malfomation were the most familiar in 31 patients,which were diagnosed by CT or MR and etiologic diagnosis should be done by angiography.29 patients were treated by micro-surgery and 2 patients were done by intravascular embolism. Conclusion:Patients with spontaneous intracerebral hemorrhage should be treated by mini-trauma in order to remove haematoma and freedom from relapse.