本文選題：高血壓腦出血 + 神經導航��； 參考：《華中科技大學學報(醫(yī)學版)》2017年01期

【摘要】：目的探討神經導航引導下硬通道多靶點穿刺引流術治療高血壓腦出血的療效。方法 2013年6月至2015年12月,采用神經導航引導下硬通道多靶點穿刺引流手術治療高血壓腦出血患者48例,對其進行臨床分析。結果術后復查頭顱CT測算血腫清除率:2d內血腫全部清除6例、次全清除12例、大部分清除22例、部分清除8例;4 d內血腫全部清除16例、次全清除20例、大部分清除8例、部分清除4例;4 d以上血腫全部清除42例、次全清除4例、大部分清除1例、部分清除1例。術后3個月按日常生活能力分級:Ⅰ級20例(41.7%);Ⅱ級8例(16.7%);Ⅲ級12例(25.0%);Ⅳ級6例(12.5%);Ⅴ級2例(4.1%)。結論神經導航引導下硬通道多靶點穿刺引流治療高血壓腦出血操作簡便、定位準確、手術風險低、損傷小、安全性高,可降低患者死亡率及致殘率,有較好的臨床應用價值。
[Abstract]:Objective to investigate the effect of multitarget puncture and drainage guided by neuronavigation on hypertensive intracerebral hemorrhage (hypertensive intracerebral hemorrhage). Methods from June 2013 to December 2015, 48 patients with hypertensive intracerebral hemorrhage were treated with neuronavigation-guided multi-target puncture and drainage. Results the hematoma clearance rate was calculated by CT in 6 cases, subtotal clearance in 12 cases, partial clearance in 22 cases, partial clearance in 16 cases, subtotal removal in 20 cases, and partial removal in 8 cases. Partial removal of hematoma occurred in 42 cases, subtotal removal in 4 cases, partial removal in 1 case and partial removal in 1 case. At 3 months after operation, there were 20 cases with grade 鈪，

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