微创治疗脑出血临床探究.docVIP

微创治疗脑出血临床探究【摘要】 目的 探讨微创治疗在脑出血救治中的应用。结果 对127例脑出血患者在结合头颅CT应用三维定位微创穿刺置入硅胶管进行抽吸或注射尿激酶引流治疗的疗效分析。结论 127例患者GOS评分恢复良好者85例，重残19例，1例出现植物状态，自动出院12例，死亡10例。住院时间最短8 d，最长23 d，平均13 d。结论 微创穿刺治疗脑出血具有操作简便、安全、创伤小、手术时间短，大多手术只需局麻、术后使用脱水剂少，其他器官并发症少，恢复快，住院时间短，住院费用较开颅及保守治疗低，有利于术后早期康复程序的进行，适用范围广的一种有效方法。? 【关键词】 微创治疗；脑出血；脱水剂??The clinical study on minimally invasive removal of intracerebral hemorrhage GAO Hong,SU Ping,ZHAO Nan,et al. Department of Neurosurgery,The First peoples Hospital of Kunming city,Yunnan 650011,China ? 【Abstract】 Objective To oxplore the therapeutic effects in minimally invasive removal of intracerebral hematoma.Methods The clinical data on 127 patients with intracerebral hemorrhage were treated by silicone cathetel puncture hematoma evacuation or injection urokinase for draining with three?dimensional positioning by head CT.Results Of the 127 patients with intracerebral hemorrhage,85 survived with improvement of GCS score,19 patients with severe disability,1 patient with vegetative state,12 patients were requested to leave hospital by family,and 10 patients died.The median length of hospital stay was 13 days,the shortest was 8 days,and the longest was 23 days.Conclusion The minimally invasive surgery for intracranial hematoma appeared to be an effective,convenient and safe treatment with intracerebral hemorrhage.In addition,the minimally invasive surgery as compared with traditionary surgery or conservative treatment has several advantages:①reducing operation time,complications and length of hospital stay; ②the most patient only need local anesthesia;③cut down dehydrating agent and cost of hospitalization;④be beneficial to early rehabilitation.It has extensive applicability.? 【Key words】 Minimally invasive surgery;Intracerebral hemorrhage;Dehydratingagent ? ? 作者单位：650011昆明医学院附属甘美医院/昆明市第一人民医院神经外科(高鸿 苏平 赵楠 刘俊 马钢 吴均 岑键昌 刘兴海)， 神经内科(张红莲) 脑出血是一种常见多发病，自然人口发病率每年为40~60/10万人，80%发生于大脑半球，其余20%发生于脑干和小脑，多发于40~70岁，高血压是脑出血的最常见和主要病因，约占全部脑出血的60%，男性略多于女性，北方