CAJ | 학술논문

目的初步探讨应用简化式定向置软管吸引术救治脑出血中吸引管与颅脑相关血管构筑的关系,以了解所有类似手术方法的科学性、安全性.方法对63例高血压脑出血患者行简化式定向置软管吸引术治疗,术后病情稳定或血肿引流干净后,拔管前行CT脑血管造影重建(CTA、CTV),了解吸引管血肿穿刺路径、吸引管与颅脑相关血管构筑的关系.结果对所有高血压脑出血患者在定向置管术后CTA、CTV分析发现.吸引管在穿刺血肿靶点路径中均可安全滑过相关颅脑动脉及静脉,吸引管位置准确,引流效果好,术后恢复快,未见置管及引流过程中引流管明显损伤重要相关颅脑血管.结论简化式定向置软管血肿吸引术中所选用的一次性软性引流管设计科学、合理,该手术是定向准确、微创、安全有效、廉价简便的救治高血压脑出血的一种方法.
목적 초보탐토응용간화식정향치연관흡인술구치뇌출혈중흡인관여로뇌상관혈관구축적관계,이료해소유유사수술방법적과학성、안전성.방법 대63례고혈압뇌출혈환자행간화식정향치연관흡인술치료,술후병정은정혹혈종인류간정후,발관전행CT뇌혈관조영중건(CTA、CTV),료해흡인관혈종천자로경、흡인관여로뇌상관혈관구축적관계.결과 대소유고혈압뇌출혈환자재정향치관술후CTA、CTV분석발현.흡인관재천자혈종파점로경중균가안전활과상관로뇌동맥급정맥,흡인관위치준학,인류효과호,술후회복쾌,미견치관급인류과정중인류관명현손상중요상관로뇌혈관.결론 간화식정향치연관혈종흡인술중소선용적일차성연성인류관설계과학、합리,해수술시정향준학、미창、안전유효、렴개간편적구치고혈압뇌출혈적일충방법.
Objective To investigate the clinical outcome of patients receiving stereotacticcannula placement for hypertensive intracerebral hematoma drainage and the relationship between thedrainage cannula and the cerebral angioarchitecture. Methods Sixty-three patients with hypertensiveintracerebral hematoma underwent operations for stereotactic placement of a soft tube for hematomadrainage. CT angiography and CT venography were performed prior to cannula withdrawal after thepatients' condition was stabilized or complete hematoma drainage. The relationship between the drainagecarmula, cerebral angioarchitecture and the entry route of the cannula were observed. ResultsPostoperative CT angiography and CT venography showed that the entry route of the cannula allowedsafe passage of the cannula along the cerebral arteries and veins, and the position of the cannula wasaccurate in all the patients. Satisfactory hematoma drainage and good postoperative recovery wasachieved in all the patients, and no significant injuries to the adjacent cerebral arteries or veins occurredin these cases. Conclusion Stereotactic cannula placement with the minimally invasive technique forhemotoma drainage causes minimal injury and is safe, effective, cost-effective and convenient fortreatment of hypertensive intracerebral hematoma.