Hard-channel soft-channel integrated minimally invasive technique in treating 52 cases of cerebral hemorrhage clinical observation.docVIP

 PAGE \* MERGEFORMAT 13 Hard-channel soft-channel integrated minimally invasive technique in treating 52 cases of cerebral hemorrhage clinical observation Author: Ying-Shen Wang Yi, Zhang-fu, Zhang Yang [Abstract] Objective To explore the hard channel, soft-channel integrated application of two minimally invasive technique in cerebral hemorrhage experiences and understanding. Methods 52 cases of spontaneous cerebral hemorrhage, hematoma according to the condition of different types of needs and choice or combination of hardware channels - Minimally invasive surgery of intracranial hematoma, and soft-Channel - directional catheter treatment of intracranial hematoma aspiration. Results 52 patients discharged from hospital 45 cases, the basic recovery in 11 cases, 15 cases of remarkable progress, progress in 13 cases, no change in 5 cases, 7 died outside hospital within 3 months and 1 died, case-fatality rate: 15.4%. 42 patients were followed up 1 to 10 months, according to daily living scale, ADL1 12 Li (28.6%), ADL2 11 Li (26.2%), ADL3 13 Li (30.6%), ADL43 patients (7.1%), ADL53 patients ( 7.1%). Conclusions take full advantage of the hard channel, soft-channel technology, its own unique advantages, a reasonable choice for patients, if necessary, a joint application, to play its comprehensive advantages, we can achieve more satisfactory results. [Keywords:] hard channel; soft channel; minimally invasive techniques; cerebral hemorrhage; hematoma puncture I Branch in April 2007 to February 2008 began to use technology as a minimally invasive puncture and drainage of hematoma in treatment of cerebral hemorrhage (except for cerebellar hemorrhage) the main method, replacing the previously used more than a small bone window and bone window craniotomy hematoma removal operation, and the condition of patients and hematoma in different types of channel selection or combination of hard and soft-channel two kinds of minimally invasive technique of treatment of spontane