Minimally invasive surgery of 392 cases of cranial drill Clinical Experience.doc

 PAGE \* MERGEFORMAT 10 Minimally invasive surgery of 392 cases of cranial drill Clinical Experience [Abstract] Objective: To summarize the use of intracranial hematoma in hypertensive cerebral hemorrhage and subdural hematoma of clinical experience. METHODS: 392 cases of cerebral hemorrhage patients, minimally invasive drilling cranial dissection for treatment, treatment etc. to give a comprehensive analysis of results: The surgical treatment of hypertensive cerebral hemorrhage with low mortality rates, morbidity decreased. Conclusion: The surgical treatment of hypertension and subdural hematoma method is simple, high cure rate, clinical efficacy and reliable. [Keywords:] hypertensive cerebral hemorrhage, subdural hematoma, cranial hematoma minimally invasive drilling Since December 1998 July 2007 common minimally invasive treatment of diamond skull cleared 392 cases of cerebral hemorrhage, and achieved good results, summarized below. 1 Materials and Methods 1.1 General Information All patients in this group of 392 cases diagnosed by brain CT, in which 265 cases of cerebral hemorrhage in basal ganglia, thalamic hemorrhage and broke into the ventricle in 66 cases, 26 cases of lobar hemorrhage, cerebellar hemorrhage in 7 cases, 10 cases of intraventricular hemorrhage, subdural hematoma 18 cases. 1.2 Procedures Improve the preoperative preparation, so that patients do set om baseline head CT, the maximum level mark hematoma after head CT according to the maximum level to calculate the center of the plane to the forehead hematoma after a pillow or distance, measure the center to the scalp hematoma coronal distance, making the scalp location mark, maximum levels should be consistent with the previous mark. avoid the attention of the important features of intracranial area, multi-vessel area or sinus area, strictly aseptic routine local anesthesia, select Y1 T-type needle appropriate needle length, the drill driven off through the skull and d