[1]李凤强,张兴春,赵英志,等.立体定向手术治疗桥脑出血10例[J].中国微创外科杂志,2005,05(12):1046-1047.
　Li Fengqiang,Zhang Xingchun,Zhao Yingzhi,et al.Stereotactic surgery for cerebellopontine hemorrhage[J].Chinese Journal of Minimally Invasive Surgery,2005,05(12):1046-1047.
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立体定向手术治疗桥脑出血10例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年12期
页码:
1046-1047
栏目:
出版日期:
2005-12-30

文章信息/Info

Title:
Stereotactic surgery for cerebellopontine hemorrhage
作者:
李凤强; 张兴春; 赵英志; 于守波; 刘丽娟①　
吉林省前卫医院神经外科,长春,130012
Author(s):
Li Fengqiang;  Zhang Xingchun;  Zhao Yingzhi;  et al.
Department of Neurosugery, Jilin ProvinceQianweiHospital, Changchun130012, China
关键词:
桥脑出血; 立体定向手术
Keywords:
Cerebellopontine hemorrhage; 　Stereotactic surgery
分类号:
R651.1+1
文献标志码:
A
摘要:
目的探讨立体定向手术治疗桥脑出血的手术方法及治疗效果.方法采用国产FY-98Ⅱ型立体定向仪,通过CT定位,计算以桥脑血肿最大横截面的中心为靶点的三维坐标,在定位系统引导下向靶点置管抽吸尿激酶灌洗引流治疗桥脑出血10例.结果10例均获成功,无手术死亡.手术时间50～80 min,平均60 min.术中出血量25～40 ml,平均30 ml.术后因脑干功能衰竭、消化道出血死亡3例.术后住院时间16～30 d,平均21 d.术后存活7例随访3个月～1年,平均8个月,ADL评定Ⅱ级3例,Ⅲ级2例,Ⅳ级1例,V级1例.结论立体定向手术治疗桥脑出血定位准确,安全可靠,疗效满意.
Abstract:
Objective　To investigate surgical techniques and curative effects of stereotactic operation in the treatment of cerebellopontine hemorrhage.　M ethods　Ten cases of cerebellopontine hemorrhage were treated by using the model FY-98Ⅱ stereotactic apparatus. Under the guidance ofCT scanning, three-dimension coordinates of the target thatwas located at the center of themaximum section of the hematoma were calculated. Then a catheterwas introduced into the target for aspiration and urokinase irrigation under the guidance of the stereotactic system.　Results　The operationwas successfully completed in all the 10 cases. The operation timewas 50~80 min (mean, 60 min) and the intraoperative blood loss, 25~40 ml (mean, 30 ml). Postoperatively, 3 fatal caseswere encountered because of brainstem function failure or upper digestive tract bleeding. The remaining 7 cases survived after operation and were followed for 3~12 months(mean, 8 months). The postoperative hospital stay was 16~30 days (mean, 21 days). Assessmentwith theActivities ofDailyLiving (ADL) scale showed gradeⅡin 3 cases, gradeⅢin 2,Ⅳin 1, and vegetative state in 1.　Conclusions　Stereotactic surgery in the treatment of cerebellopontine hemorrhage has advantages of accurate location, high reliability, and satisfactory effect.

参考文献/References:

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备注/Memo

备注/Memo:
①手术室
更新日期/Last Update: 2014-04-29