脑内血肿的微侵袭手术治疗

Treatment of intracerebral hematoma by minimal invasive surgery

目的 探讨评价微侵袭手术治疗脑内血肿的临床疗效和意义。方法 采用CT定位细孔钻颅穿刺脑内血肿抽吸加置管引流术式治疗脑内血肿189例。术后分别从血肿清除率、血肿复发率、患者死亡率、GOS评级等几个方面与开颅血肿清除术式治疗进行临床疗效比较。结果 微侵袭手术的血肿清除率为87.3％、复发率为12.7％,GOS评级优良率61.9％、死亡率为13.2％。与开颅血肿清除术比较,疗效明显提高(P<0.01)。结论 脑内血肿微侵袭手术治疗具有复发率低、疗效好等优点。

Objective To study the effectiveness and signiticance or minimal invasive surgery in (?) hematoma. Methods 189 patients with intracerebral hematoma were treated by aspiration and drainage with small hole puncture after CT localization. The hematoma clearance rate, recurrence rate, mortality and GOS of the operation were compared with those of craniotomy with bone flap. Results The hematoma clearance rate of minimal invasive surgery was 87.3 % and recurrence rate was 12.7 %; The good recovery plus moderate disability of GOS was 61.9% and the mortality was 13.3 %. These were significantly better than the results of craniotomy with bone flap (P<0.01). Conclusion Treating intracerebral hematoma with minimal invasive techniques has the advantage of lower recurrence rate and better outcome.