[1]康慧莉,詹维伟,丁 勇,等.超声在高血压性脑出血微创清除术中的应用[J].介入放射学杂志,2016,(01):74-77.
 KANG Hui- li,ZHAN Wei- wei,DING Yong,et al.Application of ultrasound guidance in performing minimally invasive removal of hypertensive intracerebral hemorrhage[J].journal interventional radiology,2016,(01):74-77.
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超声在高血压性脑出血微创清除术中的应用 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年01期
页码:
74-77
栏目:
临床研究
出版日期:
2016-01-25

文章信息/Info

Title:
Application of ultrasound guidance in performing minimally invasive removal of hypertensive intracerebral hemorrhage
作者:
康慧莉 詹维伟 丁 勇 王 颖 赵云歆 姚广力 蔡秋琼 梅将军 江 怡
Author(s):
KANG Hui- li ZHAN Wei- wei DING Yong WANG Ying ZHAO Yun- xin YAO Guang- li CAI Qiu- qiong MEI Jiang- jun JIANG Yi
Department of Ultrasound, Punan Hospital, Pudong New Area, Shanghai 200125, China
关键词:
 【关键词】 超声 高血压性脑出血 脑血肿 微创清除术
文献标志码:
A
摘要:
【摘要】 目的 探讨超声引导下高血压性脑出血微创清除术的治疗效果和可行性。方法 选取2012年8月至2014年12月进行高血压性脑出血治疗的患者60例,随机分为研究组和对照组。研究组30例患者行超声引导下高血压性脑出血微创清除术,对照组30例患者采用常规血肿清除方法。通过观察两组患者的血肿清除率和术后3个月Glasgow预后评分(GOS)分级结果,评价两种治疗方案的效果。结果 研究组清除80%以上血肿患者17例,清除70%~80% 12例,术中再出血1例;对照组清除80%以上血肿患者10例,清除70%~80% 8例,术中再出血12例。研究组血肿清除率明显高于对照组(P<0.05)。患者术后GOS分级结果表明:研究组恢复良好患者21例,中残4例,重残3例,植物状态1例,死亡1例;对照组恢复良好患者15例,中残8例,重残4例,植物状态2例,死亡1例。研究组术后恢复情况明显优于对照组(P<0.05)。结论 将超声应用于高血压性脑出血微创清除术中提高了血肿清除率,且有更好的术后恢复效果。超声技术为高血压性脑出血的治疗提供了一种新的诊断和治疗技术,可在临床应用中推广。

参考文献/References:

[1] 周良辅. 现代神经外科学[M]. 上海: 复旦大学出版社上海医科大学出版社, 2001: 798- 803.
[2] Butcher K, Laidlaw J. Current intracerebral haemorrhage manage- ment[J]. J Clin Neurosci, 2003, 10: 158- 167.
[3] 戚建国, 张合林. 高血压脑出血外科治疗现状及进展[J]. 医学综述, 2009, 15: 3264- 3266.
[4] 陈 旭, 耿 翔. 脑出血的研究现状和治疗进展[J]. 中华老年心脑血管病杂志, 2009, 11: 947- 949.
[5] Woo D, Haverbusch M, Sekar P, et al. Effect of untreated hyper- tension on hemorrhagic stroke[J]. Stroke, 2004, 35: 1703- 1708.
[6] 于明哲, 张 宁. 高血压脑出血的治疗进展[J]. 中国冶金工业医学杂志, 2008, 25: 422- 423.
[7] 毛 群, 勾俊龙, 刘宗惠. 外科治疗脑出血:回顾与展望[J]. 国外医学神经病学神经外科学分册, 2003, 30: 420- 423.
[8] 唐运涛, 刘伦波, 陈宏刚, 等. B型超声波在颅脑损伤术中及术后的应用研究[J]. 中华神经医学杂志, 2003, 2: 374- 375.
[9] 赵 澎, 赵 岩, 张 伟, 等. 超声引导下微创手术治疗颅内肿瘤的临床研究[J]. 中华医学杂志, 2006, 86: 1600- 1603.
[10] 庞 力, 周良辅. 微创手术治疗高血压脑出血的术式比较[J].中国微侵袭神经外科杂志, 2001, 6: 147- 150.
[11] 张 义, 陈衔城, 孙 安, 等. 高血压脑出血破入脑室不同手术方法疗效比较[J]. 中国危重病急救医学, 1999, 11: 398- 399.
[12] 石元洪, 唐洲平, 徐金枝, 等. 脑出血血肿抽吸术临床应用的文献分析[J]. 神经损伤与功能重建, 2010, 5: 89- 93.
[13] 张正平. 高血压脑出血颅内血肿微创清除术手术时机与治疗效果的比较分析[J]. 中国现代医学杂志, 2014, 24: 69- 72.
[14] 钟有安, 肖开敏, 钟 良, 等. 颅内血肿微创穿刺清除术最佳手术时机的临床研究[J]. 微创医学, 2013, 8: 36- 37.
[15] Zhou X, Chen J, Li Q, et al. Minimally invasive surgery for spontaneous supratentorial intracerebral hemorrhage: a meta- analysis of randomized controlled trials[J]. Stroke, 2012, 43: 2923- 2930.
[16] Vale FL, Reintjes S, Garcia HG. Complications after mesial temporal lobe surgery via inferiortemporal gyrus approach[J]. Neurosurg Focus, 2013, 34: E2.
[17] Takeuchi S, Nawashiro H, Wada K, et al. Ventriculomegaly after decompressive craniectomy with hematoma evacuation for large hemispheric hypertensive intracerebral hemorrhage[J]. Clin Neurol Neurosurg, 2013, 115: 317- 322.
[18] Li C, Wang LK, Wu GF, et al. Effect of super early removal of intracanial hematoma by minimally invasive procedures on the perihematomal ET- 1 contents and MVD in rabbits[J]. Chin J Modern Med, 2013, 23: 21- 25.
[19] 葛 风, 徐 杰, 唐志放, 等. 术中B超引导下神经内镜手术治疗高血压脑出血[J]. 中风与神经疾病杂志, 2010, 27: 555- 556.
[20] 王小龙, 庞永斌, 衣志刚, 等. 手术治疗高血压脑出血43例B超辅助与否对比分析[J]. 陕西医学杂志, 2011, 40: 1149- 1151.

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备注/Memo

备注/Memo:
(收稿日期:2015-05-14)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2016-01-22