CAJ | 학술논문

目的：寻找一种针对高血压脑出血不规则形血肿的有效治疗方法。方法：对146例高血压脑出血不规则形血肿中78例患者按15～30ml左右的血肿量，将血肿近似平分为2～4等分，每一等分中心设计一个靶点，行立体定向血肿排空术治疗。结果：多靶点立体定向血肿排空术与单靶点治疗组患者术后血肿清除时间分别为（2.8±1.4）d，（5.8±3.2）d，有显著性差异（P＜0.05），多靶点立体定向血肿排空术治疗高血压脑出血不规则形血肿预后（Activity of daily living,ADL）优于单靶点组（P＜0.05）。结论：多靶点立体定向血肿排空术治疗高血压脑出血不规则形血肿手术创伤小，血肿溶解，排出进度加快，能明显改善患者预后。
목적：심조일충침대고혈압뇌출혈불규칙형혈종적유효치료방법。방법：대146례고혈압뇌출혈불규칙형혈종중78례환자안15～30ml좌우적혈종량，장혈종근사평분위2～4등분，매일등분중심설계일개파점，행입체정향혈종배공술치료。결과：다파점입체정향혈종배공술여단파점치료조환자술후혈종청제시간분별위（2.8±1.4）d，（5.8±3.2）d，유현저성차이（P＜0.05），다파점입체정향혈종배공술치료고혈압뇌출혈불규칙형혈종예후（Activity of daily living,ADL）우우단파점조（P＜0.05）。결론：다파점입체정향혈종배공술치료고혈압뇌출혈불규칙형혈종수술창상소，혈종용해，배출진도가쾌，능명현개선환자예후。
ObjectiveTo search for an effective way to cure irregular hematoma cased by hypertension. Method 146 patients were operated through stereotactic catheterization,randomly selected 78 individuals,average hematoma was divided into 2-4 parts according to each 15-30ml,design a target each sub-center.ResultsThe mean drainaging time were 2.8±1.4d in patients with mutiple target approaches, which were markedly different from that in sigle target group(5.8±3.2d).ConclusionDrainage by stereotactic multiple-target catheterization for irregular hematoma is a superior method which has been proved to be accurate,effective,and with minimal trauma to the patient.