中国实用神经疾病杂志2017，Vol.20Issue(3)：18-21,4.
CT引导立体定向抽吸术治疗自发性基底节区出血临床研究
CT guided stereotactic aspiration in the treatment of spontaneous hemorrhage in basal ganglia region:A clinical study
摘要
Abstract
Objective To compare the efficacy of CT guided stereotactic aspiration and conservative treatment of moderate-volume spontaneous basal ganglia hemorrhage.Methods Fifty-eight patients with moderate-volume basal ganglia hemorrhage(20-50mL),from January 2014 to November 2015 in our hospital,according to different treatment methods,were divided into two groups:stereotactic surgery group(n=32)and conservative treatment group(n=26).Neurologic impairment degree scores were assessed using NIHSS before treatment and 14 and 30 days after treatment.The Extended Glasgow Outcome Scale(GOS-E)scores at 90 days after treatment were assessed for comparing the outcome between the two groups.Results In stereotactic surgery group,hematoma completely removed in 24 cases(75%),subtotal removal in 8 cases(25%).The NIHSS scores in stereotactic sur-gery group at 14 days after treatment were lower than those in conservative treatment group,although the difference was not sta-tistically significant(P>0.05).The NIHSS scores in stereotactic surgery group at 30 days were significantly lower than those in conservative treatment group (P <0.05 ).The GOS-E scores in stereotactic surgery group 90 days after treatment were significantly higher than those in conservative treatment group(P<0.05).The mortality rate was different between the two groups within 30 days of ictus(P<0.05).Conclusion CT-guided stereotactic aspiration is effective and safe,and minimally inva-sive,and can quickly remove the intracerebral hematoma with volume between 20mL to 50mL.The longterm efficacy of stereotac-tic aspiration is better than that of conservative treatment.关键词
立体定向抽吸术/保守治疗/脑出血/基底节区Key words
Stereotactic aspiration/Conservative treatment/Cerebral hemorrhage/Basal ganglia分类
医药卫生引用本文复制引用
廖洪民,黄建军,王勇,胡健..CT引导立体定向抽吸术治疗自发性基底节区出血临床研究[J].中国实用神经疾病杂志,2017,20(3):18-21,4.基金项目
中国航天科工集团医疗卫生基金课题(2014-LCYL-011) （2014-LCYL-011）
