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目的探讨微创抽吸治疗脑出血的CT定位穿刺方法及注意事项。方法对150例脑出血患者,根据首次CT扫描图像,定出血肿最大中心层面。采用体表标志物CT定位法确定出最佳穿刺点、穿刺途径及深度,对血肿进行微创穿刺抽吸,并分析其准确性和疗效。结果穿刺针尖准确进入血肿中心者145例(96.67%),针尖稍偏离血肿中心者5例(3.33%),术后生活完全自理者47例(31.33%),部分生活自理者95例(63.33%),不能自理者4例(2.67%),无效死亡者4例(2.67%),治疗总有效率为97.33(146/150)。结论微创抽吸治疗脑出血用体表标志物CT定位穿刺法准确、简单、创伤小、疗效显著,具有较高的临床应用价值。
Objective To investigate the methods and precautions of CT-guided puncture with minimally invasive aspiration for intracerebral hemorrhage. Methods 150 patients with cerebral hemorrhage, according to the first CT scan images, determine the maximum center of the hematoma level. Using CT markers of body surface markers to determine the best puncture point, puncture route and depth, minimally invasive aspiration of hematoma, and analyze the accuracy and efficacy. Results There were 145 cases (96.67%) with accurate puncture needle tip in the center of hematoma, 5 cases (3.33%) slightly away from the center of hematoma with needle tip, 47 cases (31.33%) with completely self-care life and 95 cases (63.33% ), 4 cases (2.67%) unable to take care of themselves, 4 cases (2.67%) died of ineffectiveness, and the total effective rate was 97.33 (146/150). Conclusion Minimally invasive aspiration for treatment of intracerebral hemorrhage with the use of body surface markers CT location puncture method is accurate, simple, small trauma, significant effect, with high clinical value.