CT引导立体定向手术治疗高血压性脑出血

Surgical treatment of hypertensive intracerebral haematoma by CT-guided stereotactic surgery.

作者信息

Amano K, Kawamura H, Tanikawa T, Kawabatake H, Notoni M, Iseki H, Shiwaku T, Nagao T, Iwata Y, Taira T

机构信息

Department of Neurosurgery, Tokyo Women's Medical College, Japan.

出版信息

Acta Neurochir Suppl (Wien). 1987;39:41-4. doi: 10.1007/978-3-7091-8909-2_12.

DOI:10.1007/978-3-7091-8909-2_12

PMID:3314385

Abstract

Ninety consecutive cases of hypertensive intracerebral haematoma were treated with CT guided stereotactic evacuation. The patients were composed of 61 males and 29 females, ranging from 42 to 87 years old. The location of haematoma was either in the putamen (59 cases) or in the thalamus (31 cases). The average volume of the evacuated haematoma was 21.4 ml in the putaminal haematoma and 14.0 ml in the thalamic haematoma. Postoperative follow-up study in 46 patients showed good recovery of neurological deficits both in putaminal and thalamic group. Criteria of surgical indication of CT-guided stereotactic evaluation of intracerebral haematoma were advocated based on the author's clinical experience.

摘要

对90例高血压性脑出血患者进行了CT引导下立体定向血肿清除术治疗。患者包括61例男性和29例女性，年龄在42至87岁之间。血肿部位位于壳核（59例）或丘脑（31例）。壳核血肿清除的平均血肿量为21.4毫升，丘脑血肿清除的平均血肿量为14.0毫升。对46例患者的术后随访研究表明，壳核组和丘脑组的神经功能缺损均恢复良好。基于作者的临床经验，提出了CT引导下立体定向评估脑内血肿的手术指征标准。