论文部分内容阅读
目的观察微创术前血肿扩大后血肿长径、宽径和厚度变化,并探讨微创术的穿刺方案是否随之变化。方法以接受微创术治疗的高血压性脑出血患者为研究对象,将微创术前血肿扩大者列为研究组,其他患者为对照组;记录2组患者例数及研究组首次CT和术前复查CT以及对照组CT的颅内血肿长径、宽径及厚度和2组行单针或双针穿刺治疗的患者例数。结果研究组术前CT所见颅内血肿长径、宽径及血肿涉及层数均大于首次CT所见(P均<0.05);研究组行双针穿刺者的比例大于对照组(P<0.05)。结论若高血压性脑出血患者微创术前血肿扩大后,即血肿的长径、宽径和厚度增加,微创术穿刺方案会可能随之变化。
Objective To observe the changes of major diameter, width and thickness of hematoma after minimally invasive preoperative hematoma expansion and to explore whether the minimally invasive surgical procedure will change. Methods Patients with hypertensive intracerebral hemorrhage undergoing minimally invasive surgery were enrolled in this study. The patients with minimally invasive preoperative hematoma enlargement were included in the study group and the other patients were controlled group. The number of patients in the two groups and the first CT and surgery Before CT and CT scan control group of intracranial hematoma long diameter, width and thickness and two groups of single or double needle puncture treatment of patients. Results The preoperative CT findings of intracranial hematoma long diameter, width and hematoma involved in the number of layers were greater than those seen on the first CT (P <0.05). The proportion of double needle aspiration in the study group was significantly higher than that of the control group (P <0.05 ). Conclusion If the long diameter, width and thickness of the hematoma are enlarged after minimally invasive preoperative hematoma in patients with hypertensive intracerebral hemorrhage, the minimally invasive surgical approach may change.