[超声脑扫描引导下立体定向穿刺抽吸治疗脑内血肿的手术结果]

[Surgical results in intracerebral hematomas using stereotaxic puncture aspiration under guided ultrasonic brain scanning].

作者信息

Lebedev V V, Saribekian A S, Evzikov G Iu, Nikolaev A G

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1994 Jul-Sep(3):3-5.

Abstract

The paper outlines experience gained in stereotaxic aspiration of intracerebral hematomas in 27 patients within 1 to 20 days after hemorrhage. Hematomas of hypertensive and traumatic origin were present in 24 and 3 patients, respectively. Puncture and decision to remove hematomas were made according to operative ultrasonic scanning evidence. Aspiration was performed by an electric mechanical aspirator. Seven patients with hypertensive hematomas died after surgery. The advantage of the procedure is that the completeness of hematoma removal can be monitored just during an operation.

摘要

本文概述了在出血后1至20天内对27例患者进行脑内血肿立体定向抽吸的经验。其中，高血压性血肿患者24例，外伤性血肿患者3例。根据术中超声扫描证据进行穿刺并决定是否清除血肿。使用电动机械抽吸器进行抽吸。7例高血压性血肿患者术后死亡。该手术的优点是在手术过程中即可监测血肿清除的完整性。