微创血肿清除术治疗高血压脑出血的应用价值

Value of Treating Hypertensive Intracranial Hemorrhage with Microreseting and Aspiration.

目的探讨微创血肿清除术治疗高血压颅内血肿的临床价值。方法在 CT 标记定位后,采用YL-1型颅内血肿粉碎穿刺针及血肿穿刺液化技术治疗于1999—2005年对天门市第三人民医院的49例颅内血肿,并根据 ADL(日常生活能力)分级法观察疗效。结果 49例中,治愈及好转37例,占75.5%;7例自动出院,占14.29%;死亡5例,占10.20%;半年后对治愈及好转者随访分级,Ⅰ～Ⅴ级分别为13、17、5、2及0例。结论微创血肿清除术治疗高血压颅内血肿安全、简便、有效。

Objective To observe the clinical effects of treating hypertensive intracranial hemorrhage with microreseting and aspiration.Methods 49 cases of cranial hemorrhage were treated by drilling skull,pancturing and aspiration the hemorrhage with YL-1 needle and by liquaficating the hematoma after located by CT scan.The effects were observed ac- cording the ADL grading.Results Those cases of recovery and improvement were 37(75.5%),unwarrwnted dis- charged cases were7(14.3%)and deaths in5(10.2%).Of those37 cases,the Ⅰ～Ⅴ grade of ADL were 13, 17,5,2 cases and 0 case respectively during half-year.Conclusion This operation is safe,simple,convenient and effective.