摘要
目的:探讨穿刺的准确性对基底节区脑出血微创术后血肿清除率的影响。方法:回顾性总结2009年4月-2011年9月华中科技大学同济医学院附属同济医院神经内科住院行微创术治疗的基底节区脑出血患者82例临床资料,按照穿刺准确度分为2组:穿刺准确的患者为研究组(54例),穿刺欠准确的患者为对照组(28例)。记录2组患者的各项临床特征,分别比较2组患者行单针穿刺和双针穿刺的血肿清除率。结果:研究组单针和双针穿刺者分别有41例和13例,对照组单针和双针穿刺者分别有23例和5例。研究组术后残留血肿体积明显少于对照组,血肿清除率明显高于对照组(P均<0.01)。结论:穿刺准确性会影响微创术的血肿清除效果,临床实践中应注意提高微创术的穿刺准确程度。
Objective:To explore the effect of puncture accuracy on the removal rate of hematoma after minimally invasive surgery for basal ganglia intracerebral hemorrhage.Methods:The clinical data of 82 patients with basal ganglia intracerebral hemorrhage who underwent minimally invasive surgery in Department of Neurology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from April 2009 to September 2011 were retrospectively summarized.According to the puncture accuracy,the patients were divided into two groups:study group(54 cases)receiving accurate puncture,and control group(28 cases)with inaccurate puncture.The clinical information of the two groups was recorded,and the removal rate of hematoma was compared when single needle puncture and double needle puncture were performed.Results:There were 41 cases given single needle puncture and 13 cases given double needle puncture in the study group.In the control group,23 cases received single needle puncture and 5 cases double needle puncture.The volume of residual hematoma in the study group was significantly less than that in the control group,and the removal rate of hematoma was significantly higher than that in the control group(all P<0.01).Conclusion:The accuracy of puncture may affect the effect of hematoma removal after minimally invasive surgery for the basal ganglia intracerebral hemorrhage.We should pay attention to improve the accuracy of puncture in clinical practice.
作者
许峰
连立飞
梁奇明
张萍
王芙蓉
朱遂强
XU Feng;LIAN Li-fei;LIANG Qi-ming;ZHANG Ping;WANG Fu-rong;ZHU Sui-qiang(Department of Neurology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《内科急危重症杂志》
2021年第3期193-195,250,共4页
Journal of Critical Care In Internal Medicine
基金
国家自然科学基金面上项目(No:81974218,81671064,81371222)
自主创新基金(No:540-5003540062,540-5003540083)
国家科技基础资源调查专项(No:2018FY100900)。
关键词
脑出血
微创术
穿刺
尿激酶
血肿清除
Intracerebral hemorrhage
Stereotaxic puncture
Minimally invasive surgery
Urokinase
Hematoma removal
