CAJ | 학술논문

目的：研究在两点定位CT导航下微创治疗高血压脑出血的临床疗效。方法：收治高血压脑出血患者45例，应用两点定位 CT 导航微创治疗，观察疗效。结果：45例患者均穿刺精准，血肿基本清除，时间2～5 d，无死亡病例。随诊6个月～1年，以日常生活能力分级法评估患者神经功能，Ⅰ级20例(44.4%)，Ⅱ级14例(31.2%)，Ⅲ级6例(13.3%)，Ⅳ级5例(11.1%)。结论：两点定位CT导航微创治疗高血压脑出血能最大限度地减轻脑损伤和清除血肿，具有创伤小、穿刺精确、操作简单、临床疗效好等优点。
목적：연구재량점정위CT도항하미창치료고혈압뇌출혈적림상료효。방법：수치고혈압뇌출혈환자45례，응용량점정위 CT 도항미창치료，관찰료효。결과：45례환자균천자정준，혈종기본청제，시간2～5 d，무사망병례。수진6개월～1년，이일상생활능력분급법평고환자신경공능，Ⅰ급20례(44.4%)，Ⅱ급14례(31.2%)，Ⅲ급6례(13.3%)，Ⅳ급5례(11.1%)。결론：량점정위CT도항미창치료고혈압뇌출혈능최대한도지감경뇌손상화청제혈종，구유창상소、천자정학、조작간단、림상료효호등우점。
Objective:To explore the clinical effect of two points locating CT navigation minimally invasive puncture treatment for hypertensive intracerebral hemorrhage.Methods:45 patients with hypertensive intracerebral hemorrhage were selected.They were treated by two points locating CT navigation minimally invasive puncture treatment.We observed the curative effect.Results:Puncture in 45 patients was precise,hematoma was removed basically,the time was 2 to 5 days,there was no death case.Followed up for 6 months to 1 year,we assessed the patient's neurological function according to the daily life ability classification method,20 cases(44.4% ) were Ⅰ grade,14 cases(31.2% ) were Ⅱ grade,6 cases(13.3% ) were Ⅲ grade,5 cases(11.1% ) were Ⅳ grade. Conclusion:Two points locating CT navigation minimally invasive puncture treatment for hypertensive intracerebral hemorrhage can maximally reduce brain injury and remove the hematoma.It had many advantages,such as less trauma,simple operation, accurate puncture,good clinical effect and so on.