目的:探讨双靶点立体定向术治疗高血压脑出血的疗效。方法:对43例高血压脑出血患者(血肿最大长径>5cm)随机分组,23例采用双靶点立体定向血肿排空术,20例作为对照组采用单靶点立体定向血肿排空术治疗。结果:双靶点立体定向血肿排空术...目的:探讨双靶点立体定向术治疗高血压脑出血的疗效。方法:对43例高血压脑出血患者(血肿最大长径>5cm)随机分组,23例采用双靶点立体定向血肿排空术,20例作为对照组采用单靶点立体定向血肿排空术治疗。结果:双靶点立体定向血肿排空术与对照组治疗患者术后血肿消除时间分别为(3±1.5)d、(5±4.2)d,有显著性差异(P<0.05);双靶点立体定向血肿排空术治疗高血压脑出血预后(Activity of daily living,ADL)优于对照组治疗(P<0.05)。结论:双靶点立体定向血肿排空术治疗高血压能够缩短血肿排空时间,改善高血压脑出血患者预后。展开更多
Objective.To summarize the experience of minim ally invasive treatment in 520patie nts with intracranial aneurysms on a retrospective study.Methods.The measures used in the treatment of520patients were reviewed in ter...Objective.To summarize the experience of minim ally invasive treatment in 520patie nts with intracranial aneurysms on a retrospective study.Methods.The measures used in the treatment of520patients were reviewed in terms o f timing of surgery,induced-hypotensive anesthesia,b rain protection combined with temporal occlusion of the feeding artery,exter-nal drainage of CSF,dynamic monitoring of intracranial pressure,blood flow velocity,serum osmolality and CT scanning,anti-vasospasm therapy a s well as selected interventional en dovascular embolization of aneurysms.Results.Of the 520patients,485were treated with either direct clipping or endov ascular embolization and35patients were treated non-surgic ally.In 449patients undergoing dir ect clipping and 36undergoing endov ascu-lar embolization,intraoperative r upture of aneurysm occurred in 27(6.0%)and 0%,respectively.Death oc-curred in 13(2.6%),hemiplegia in 8(1.6%),and vegetative state in 2(0.4%).The operative mortality of direct clipping was 3.8%in 210patie nts before 1990and 1.8%in 275patien ts after 1990(36patients undergo-ing endovascular embolization,the operative mortality was 0%).Conclusion.The outcome of patients with intracranial aneurysms can be markedly impr oved and the opera-tive mortality can be lowered by mini mally invasive treatment.展开更多
文摘目的:探讨双靶点立体定向术治疗高血压脑出血的疗效。方法:对43例高血压脑出血患者(血肿最大长径>5cm)随机分组,23例采用双靶点立体定向血肿排空术,20例作为对照组采用单靶点立体定向血肿排空术治疗。结果:双靶点立体定向血肿排空术与对照组治疗患者术后血肿消除时间分别为(3±1.5)d、(5±4.2)d,有显著性差异(P<0.05);双靶点立体定向血肿排空术治疗高血压脑出血预后(Activity of daily living,ADL)优于对照组治疗(P<0.05)。结论:双靶点立体定向血肿排空术治疗高血压能够缩短血肿排空时间,改善高血压脑出血患者预后。
文摘Objective.To summarize the experience of minim ally invasive treatment in 520patie nts with intracranial aneurysms on a retrospective study.Methods.The measures used in the treatment of520patients were reviewed in terms o f timing of surgery,induced-hypotensive anesthesia,b rain protection combined with temporal occlusion of the feeding artery,exter-nal drainage of CSF,dynamic monitoring of intracranial pressure,blood flow velocity,serum osmolality and CT scanning,anti-vasospasm therapy a s well as selected interventional en dovascular embolization of aneurysms.Results.Of the 520patients,485were treated with either direct clipping or endov ascular embolization and35patients were treated non-surgic ally.In 449patients undergoing dir ect clipping and 36undergoing endov ascu-lar embolization,intraoperative r upture of aneurysm occurred in 27(6.0%)and 0%,respectively.Death oc-curred in 13(2.6%),hemiplegia in 8(1.6%),and vegetative state in 2(0.4%).The operative mortality of direct clipping was 3.8%in 210patie nts before 1990and 1.8%in 275patien ts after 1990(36patients undergo-ing endovascular embolization,the operative mortality was 0%).Conclusion.The outcome of patients with intracranial aneurysms can be markedly impr oved and the opera-tive mortality can be lowered by mini mally invasive treatment.
