New-type stereotaxic apparatus-assisted transfrontal puncture and drainage in treatment of hypertensive intracerebral hemorrhage in the basal ganglia
10.3760/cma.j.cn115354-20200214-00076
- VernacularTitle:新型立体定向仪辅助下经额穿刺引流术治疗高血压性基底节区脑出血的临床应用
- Author:
Peiquan HUI
1
;
Lei SONG
;
Zengwu WANG
;
Shiqiang QIN
;
Yi WANG
;
Hui GUO
;
Bingkun QU
;
Quanmin NIE
Author Information
1. 潍坊市人民医院神经外科 261000
- Keywords:
Hypertensive intracerebral hemorrhage in the basal ganglia;
Disposable new-type stereotaxic apparatus;
Transfrontal puncture drainage
- From:
Chinese Journal of Neuromedicine
2020;19(12):1240-1246
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of new-type stereotaxic apparatus-assisted transfrontal puncture and drainage in the treatment of hypertensive intracerebral hemorrhage in the basal ganglia.Methods:A retrospective analysis was performed on the clinical data of 60 patients with hypertensive intracerebral hemorrhage in the basal ganglia who received disposable new-type stereotaxic apparatus-assisted transfrontal insertion with soft tunnels for hematoma aspiration drainage in our hospital from August 2017 to September 2019. The treatment efficacy was analyzed.Results:All patients were successfully punctured at one time; the puncture surface was 5-6.5 cm on the basement plane, where the hematoma surface was the largest; the puncture angle was 10-14°, and the puncture depth was 9-11.5 cm. Fifteen patients were operated within 6 h of hemorrhage, and the intraoperative hematoma clearance rate was about 25%; 40 patients were operated 6-24 h after hemorrhage, and the hematoma clearance rate was about 20%; 5 patients were operated one-3 d after hemorrhage, and the hematoma clearance rate was as high as 30%. The first postoperative re-check CT showed that 51 patients had ideal position of the drainage tube, 2 were too deep, one was too shallow, 2 were below the position, 2 were above the position, one was inside the position, and one was outside the position. The Glasgow Coma Scale (GOS) scores of the patients on 3 rd d of operation (9.88±3.998) were significantly higher than those of the patients before operation (6.24±3.159, P<0.05). One month after the operation, GOS showed that 20 patients (33.3%) had good recovery, 28 (46.7%) had mild disability, 7 (11.7%) had severe disability, 3 (5.0%) had plant survival, and 2 (3.3%) died. Conclusion:The disposable new-type stereotaxic apparatus-assisted transfrontal puncture drainage is easy to be conducted and practicable with a reasonable design, accurate positioning, minimal surgical traumas and satisfactory curative effect.
