【摘要】 目的 :介绍应用CT导向立体定向穿刺抽吸引流术对高血压脑出血 6 0例的治疗结果 ,就其临床价值、手术适应证、手术时机、手术并发症进行讨论。方法 :利用德国产LeibingerFisher立体定向系统在基础麻醉 +局部麻醉下钻颅血肿穿刺置管抽吸引流 ,辅以尿激酶血肿腔内注入直至血肿大部清除后拔管。观察意识状况 ,中线移位 ,手术时机对预后的影响。结果 :本组死亡 13.3% ,疗效标准以ADL表示 :ADL1～ 2 级 4 5 % ,ADL3 级 30 % ,ADL4级 8.3%。结论 :CT导向立体定向钻颅血肿穿刺抽吸引流术是一种微创治疗手段 ,能有效降低高血压脑溢血病人的死亡率和致残率。更多还原

【Abstract】 Objective: To discuss its clinical value, operative indication, opportunity and complication by introducing the treatment effect of applying CT stereotactic craniotomy absorption and drainage surgery on 60 cases of hypertensive intracerebral haemorrhage. Methods: Using Lesibinger Fisher stereotactic surgical system from Germany to have a craniotomy under MAC and local anaesthesia, and have an absorption and drainage by inserting a tube with urokinase injection to its aid till haematoma is mostly eliminated. And observe the state of consciousness together with the treatment effect of operative opportunity. Results: The death rate of the group is 13.3%, level of treatment effect indicated by ADL are as follows: ADL 1～2 45%,ADL 3 30%, ADL 4 8.3%. Conclusion: CT stereotactic craniotomy absorption and drainage surgery is a micro trauma operative option with low death rate and low disability of hypertensive intracerebral haemorrhage sufferers.更多还原