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目的探讨立体定向横窦下置管引流术治疗重型高血压桥脑出血的治疗效果。方法采用国产深圳安科ASA-602S型立体定向仪头架,行64排CT扫描,选择血肿最大横截面的中心为靶点,计算出靶点X、Y、Z三维坐标值,在定位系统引导下经横窦下乙状窦内侧入路向靶点置管引流治疗重型高血压桥脑出血52例,观察其疗效。结果全部病例立体定向手术获成功,无术中死亡,术后存活28例(53.85%),死亡24例(46.15%)。结论立体定向横窦下置管引流手术定位准确,安全可靠,是高血压重型脑干出血的有效治疗方法。
Objective To investigate the effect of stereotactic transversal sinus drainage in the treatment of patients with severe hypertensive pontine hemorrhage. Methods The ASA-602S stereotaxic head frame made by Shenzhen Anke was used to perform 64-slice CT scan. The center of maximum cross section of hematoma was selected as the target, and the three-dimensional coordinates of target X, Y, Z were calculated. Under the transverse sinus sigmoid sinus medial approach to the target catheter drainage treatment of hypertensive pontine hemorrhage in 52 cases observed its efficacy. Results All cases were successfully treated with stereotactic surgery without any intraoperative death. Survival was 28 (53.85%) and 24 (46.15%) died. Conclusion Stereotactic transverse sinus drainage catheter placement accurate, safe and reliable, is an effective treatment of hypertensive heavy brainstem hemorrhage.