【摘要】 目的:观察立体定向手术治疗幕上中等量高血压脑出血的疗效。方法:定向手术组32例,使用ASA—602s脑立体定向仪。CT辅助下选择靶点,穿刺靶点抽吸血肿后置管,每日两次血肿腔内注入尿激酶五万单位,闭管两两小时后引流。另28例未行手术作保守治疗对照组。结果立体定向手术组可明显缩短血肿吸收时间,与保守治疗组比较有非常显著的差异(P<0.01)。定向组可明显缩短偏瘫及失语开始恢复的时间,与保守组比较有非常显著的差异(P<0.01)。定向组较保守组可明显改善发病三个月后生活能力(P<0.05)。结论:中等量幕上高血压脑出血一定要积极行立体定向手术,以挽救患者的脑功能,减少残疾发生。更多还原

【Abstract】 Objective To evaluate the outcome of patients mith medium dose supratentorial hypertensive intracerebral hemorrhage treated with stereotactic apparatus. Methods :thirty -two patients treated with ASA-602S Cerebral Stereotactic apparatus. First .seleted lesion as target.then puncture target and aspirate hematoma at last fixed tabes mith the assistant of CT Clipped the tubes 2 hours after urokmase 5000iu was infused into hematoma and drain twice a day. Another twenty - eight patients treated with unsurgical approaches mere selected as control group. Results: Aspirated hematoma time and recovery time of alexia and hemiplegia in surgical group mith cerebral stereotactic apparatus signifiantly shorted than those in control group (P<0.01 ). Self-care ability in patients after 3 months from attacked in surgical group signifcantly was improved than those in control group (P<0.05). Conclusion: Medium dose supratentorial hvpertenaive intracerebral hemorrhage must treated with surgical approach mith stereotactic apparatus to save patients’ cerebral functions and lower the morbidith of disabrhty.更多还原