摘要
Abstract
Objective:To investigate the clinical effect and significance of minimally invasive treatment of hypertensive putamen hemorrhage by using cuboid stereotactic soft channel.Method:According to the illness,morphology and size of hematoma by CT guided,64 cases of hypertensive putamen hemorrhage were choosen appropriate puncture point and the direction of puncture to conduct cuboid stereotactic single target or multi-target hematoma minimally invasive hose,liquefaction dissection drainage.Result:Hematoma clearance rate during operation and postoperative residual blood clearance indwelling time:single target path(32.2±18.6)%and(6.5±2.1)d ,multi target path(56.5±23.3)%and (4.5±1.5)d . Comparison of two methods have significant meaning. 54 cases were discharged from hospital and 10 deaths in 64 patients,the mortality rate was 15.6%. On the survival of 54 patients were followed up for 6 months to 2 years and were assessed neurologic function by using activities of daily living(ADL):ADL1 18 case(33.3%),ADL2 21 case(38.8%), ADL3 8 case(14.8%),ADL4 5 case(9.2%),ADL5 2 case(3.7%).Conclusion:In the treatment of hypertension putamen hemorrhage,Cuboid stereotactic soft channel,liquefied drainage can multi-track,multi-target puncture and easy to operate,minimal trauma,to maximize the removal of the hematoma,shorten indwelling tube time,reduce mortality and improve far term prognosis.关键词
方体定向软通道/高血压/壳核出血/微创性/液化/多靶点Key words
Cuboid stereotactic soft channel/Hypertension/Putamen hemorrhage/Minimally Invasive/Liquefaction/Multi-target
