Effect of portable head computed tomography navigation-guided surgery on patients with hypertensive hematoma
10.3760/cma.j.issn.1671-8925.2013.08.012
- VernacularTitle:便携式头颅CT导航下微创手术治疗高血压脑出血的疗效观察
- Author:
Yi YANG
1
;
Hong-Tian ZHANG
;
Li-Hua CHEN
;
Guang-Zhu ZHANG
;
Pei-Jian LI
;
Ru-Xiang XU
Author Information
1. 北京军区总医院附属八一脑科医院
- Keywords:
Portable computed tomography;
Hypertensive intracranial hematomas;
Minimal invasive surgery
- From:
Chinese Journal of Neuromedicine
2013;12(8):806-809
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the outcome and safety of portable 3D head computed tomography (CT) navigation-guided keyhole microsurgery in patients with hypertensive intracranial hematomas (HICH).Methods Thirty-five consecutive unconscious patients with a volume of HICH at 24-90 mL,admitted to our hospital from January 2010 to December 2012,were treated with 3D image-guided keyhole microsurgery.The preoperative and postoperative neurological status determined by Glasgow Coma Scale (GCS) and modified Rankin Scale (mRS).Outcome at six months was assessed by Glasgow Outcome Scale (GOS).Results Average time from admission to the operation room,time for CT scan,and average operation time were (11.22±6.37) h and (19±13.11) min and (108.49±26.61)min,respectively.The total and near total (＞90％) hematoma evacuation rate was 96.9％.The mRS and GCS scores were significantly improved at discharge as compared with those before surgery (F=6.487,P＜0.05).Six months after the surgery,57.1％ patients achieved good recovery (GOS scores 4-5),and two patients died.Conclusion Keyhole minimally invasive hematoma with the help of portable head 3D reconstructed CT scan is highly effective in obtaining immediate and complete hematoma evacuation;portable CT is reliably and effective for preoperative navigation,and is very helpful for surgical management of patients with HICH.
