摘要
目的评价新型立体定向穿刺技术在高血压脑出血穿刺引流中的应用价值。方法选取我院自2017年1月~2021年1月收治的24例使用该技术进行血肿穿刺引流的脑出血患者的临床资料进行回顾性分析,观察其穿刺的精准度、血肿清除率、手术前后格拉斯哥昏迷评分以及并发症的发生情况,进一步探讨该技术的临床应用价值。结果24例患者术后复查头颅CT均可见引流管放置位置良好,均沿着血肿长轴放置且尖端位于血肿内,与术前拟定血肿穿刺靶点位置的偏移距离为4.53±3.40mm,均≤10mm,术后血肿清除满意,无患者术后出现再出血及导管相关性感染。结论该立体定向穿刺技术操作简单、定位准确,可以节省手术及术前准备时间,保证血肿穿刺的成功率及准确性,且手术创伤及术后并发症较少,再出血风险低,适用于脑出血急症。
Objective To evaluate the application value of the novel stereotactic puncture technique in hypertensive intracerebral hemorrhage drainage.Methods Clinical data of 24 patients who underwent hematoma puncture and drainage using this technique at our hospital from January 2017 to January 2021 were retrospectively analyzed.The puncture accuracy,hematoma clearance rate,pre-and postoperative Glasgow coma scale score,and the incidence of complications were observed to further investigate the clinical value of this technique.Results In all 24 cases,postoperative cranial CT scans showed good placement of the drainage tube,all along the long axis of the hematoma with the tip inside the hematoma.The offset distance from the preoperative target point was 4.53±3.40 mm,all≤10 mm.The hematoma clearance was satisfactory postoperatively and there were no instances of re-bleeding or catheter-related infections.Conclusion This stereotactic puncture technique is simple to operate and accurately positioned,which can save surgery and preoperative preparation time,ensure the success rate and accuracy of hematoma puncture,and reduce surgical trauma and postoperative complications,with a low risk of re-bleeding.It is suitable for emergency cases of cerebral hemorrhage.
作者
陈鹏宇
潘超
宋振华
王磊
刘承勇
魏大年
CHEN Pengyu;PAN Chao;SONG Zhenhua;WANG Lei;LIU Chengyong;WEI Danian(Department of Treatment Center for Traumatic Injuries,The Third Affifiliated Hospital of Southern Medical University,Guangzhou 510630,China)
出处
《分子影像学杂志》
2023年第4期711-718,共8页
Journal of Molecular Imaging
基金
广东省卫生健康适宜技术推广项目(粤卫办科教函[2021]15号)。
关键词
高血压脑出血
颅脑穿刺导引器
定位尺
血肿穿刺引流术
多平面重建
hypertensive intracerebral hemorrhage
cranial puncture guide
positioning ruler
hematoma puncture drainage surgery
multi-planar reconstruction
