Clinical study of CT-guided drilling,aspiration and drainage for cerebellar hemorrhage in senile patients
10.3969/j.issn.1009-0126.2024.06.014
- VernacularTitle:CT引导钻孔穿刺抽吸引流术治疗老年小脑出血患者的临床研究
- Author:
Henghao WU
1
;
Juanru SHEN
;
Jingbo WANG
;
Shengxu ZHANG
;
Zhen SONG
;
Tingliang CAO
;
Wentao YANG
;
Wanhong ZHANG
Author Information
1. 475000 开封市中心医院神经外科
- Keywords:
brain hemorrhage,traumatic;
prognosis;
CT-guided drilling,aspiration and drainage
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2024;26(6):661-664
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of CT-guided drilling,hematoma aspiration and drainage for senile cerebellar hemorrhage.Methods A retrospective analysis was performed on 89 very old patients(75-89 years old)with cerebellar hemorrhage admitted to our hospital from January 2016 to December 2022.According to their wishes,different surgical treatments were adopted,and thus they were divided into puncture group(42 cases,CT-guided drilling,aspi-ration and drainage for hematoma)and craniotomy group(47 cases,craniotomy).GCS,preopera-tive hematoma volume,length of ICU stay,postoperative complications,mortality rate and the mRS score in 3 months postoperatively in the survival were compared between the 2 groups.Re-sults There were no significant differences in age,male ratio,GCS score,preoperative hematoma volume,recurrence rate at 24 h postoperatively and mortality rate at 3 months postoperatively be-tween 2 groups(P＞0.05).The puncture group had significantly shorter length of ICU stay(7.10±1.43 dvs 8.87±1.39 d,P=0.000)and lower intracranial infection rate(4.76％vs 19.15％,P=0.040)than the craniotomy group.In 3 months of follow-up after surgery,the rate of good mRS score was higher in the puncture group than the craniotomy group,and the mRS score was lower in the former group than the latter one(P＜0.05).Conclusion CT-guided drilling,aspiration and drainage for hematoma can reduce the infection rate and improve the prognosis,and is an effective approach in the treatment of patients over 75 years old with cerebellar hemorrhage.
