神经导航系统引导穿刺抽吸与CT定位穿刺抽吸治疗高血压性脑出血疗效比较

摘要

目的：比较神经导航系统引导多靶点穿刺与CT定位单靶点穿刺两种手术方法治疗高血压性脑出血的疗效。方法98例患者按就诊顺序随机分成两组。神经导航系统组46例，多靶点穿刺抽吸脑内血肿；CT定位组52例，根据CT片直接穿刺、抽吸血肿。术后随访3个月，行格拉斯哥预后评分（GOS）判断疗效。结果两组患者手术持续时间、引流天数、术中血肿抽吸率、住院天数和GOS评分差异均有统计学意义（P<0.05﹚。结论神经导航多靶点技术微创穿刺抽吸手术治疗高血压脑出血较CT定位单靶点穿刺安全、有效。%Objective To compare the efficacy of two kinds of therapies for treating hypertensive intracerebral hemorrhage by navigation-guided multi-target aspiration or CT-guided singal-target aspiration. Methods 98 patients were divided randomly into two groups according to visiting sequence,navigation-guided group:46 cases,aspirate hematoma accurately with navigation-guided multi-target;CT-guided group:52 cases,puncture hematoma by free hand,drain hematoma directly on the basis of CT scanner,not using navigation. Patients were postoperative followed-up for 3 months and the therapeutic effect was judged depending on Glasgow outcome scale(GOS). Results In both groups,the factors such as age,hematoma size,times between operation and onset,initial level of consciousness were no significant difference(P>0.05),there were significant differences in the operative duration,the drainage duration,the rate of intraoperative drainage,the hospitalized duration and GOS(P<0.05﹚. Conclusions Compared with CT-guided singal-target aspiration, navigation-guided multi-target aspiration in treating hypertensive intracerebral hemorrhage is safer and more effective.