关键词: 立体定向, 简易定位, 预后, 高血压脑出血, 吸引术

Abstract:

Objective: To discuss the advantages and disadvantages of the two methods, which were hematoma aspiration surgery guided by stereotactic and simple marker positioning in the treatment of medium dose of hypertensive intracerebral hemorrhage(HICH),and to provide a reference for clinicians to choose the reasonable operation met hod.Methods: A total of 43 cases of HICH underwent hematoma aspiration surgery were selected.According to the patient's family willing,20 cases were underwent hematoma aspiration surgery guided by stereotactic (stereotactic group)and 23 cases were underwent simple marker positioning(simple positioning group).All the patients had medium dose of hypertensive hemorrhage(30-70 mL) in the basal ganglia region.The hematoma clearence rates of the patients at the 1st and 3rd days after operation,the postoperative drainage tube indwelling time,the lengths of drainage tube in hematoma,the postoperative cather accuracy,the postoperative complications, and the GOS scores 6 months after operation were observed and recorded.Results: Compared with simple positioning group,the postoperative catheter accuracy,the postoperative hematoma clearence rate on the 1st day,and the GOS score 6 months after operation of the patients in stereotactic group were increased(P<0.05); but the postoperative hematoma clearance rate on the 3rd day,the postoperative drainage tube indwelling time,the incidence of complification,and rebleeding rate had no significant differences(P>0.05).Conclusion: For the patients with medium dose of HICH, the clinical effect of stereotactic aspiration to guide the skull drilling insertion is precise.At the same time,removal of intracranial hematoma as early as possible is better for the HICH patients' prognosis,and it's worthy of clinical popularization and application.

Key words: stereotactic, simple positioning, prognosis, hypertensive intracerebral hemorrhage, aspiration surgery