Application of stereotatic puncture and drainage under multiparameter orientation in the treatment of hypertensive intracerebral hemorrhage
- VernacularTitle:多参数定位在高血压性脑出血定向置管术中的应用
- Author:
Dan JIN
;
Ling YANG
;
Jiazhang LU
- Publication Type:Journal Article
- Keywords:
Stereotactic;
Intracerebral hemorrhage;
Multi-parameter orientation
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore therapeutic effects and indications of stereotatic puncture and drainage under multi-parameter orientation in the treatment of hypertensive intracerebral hemorrhage(HICH).Methods A total of 56 patients with HICH underwent stereotatic puncture and drainage from October 2003 to May 2005.The entrance position,the puncture plane,the puncture angle and depth,and the length of side hole of drainage tube were accurately designed before operation,and,if necessary,multiple drainage tubes were introduced via one hole.Results According to the Glasgow Outcome Scale(GOS) scores,12 patients recovered well(21.4%),29 patients were moderate disability(51.8%),and 12 patients were severe disability(21.4%).No longstanding coma was noted.Three patients died(5.4%). Conclusions Stereotatic puncture and drainage under multi-parameter orientation has better therapeutic effects and less damages than open operation.The procedure is suitable for 10~60 ml hematoma,especially in elderly patients and deep-located hematoma.The best operation timing is 3~6 hours after the onset of hemorrhage.
