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目的 :报道高血压脑出血匙孔锥颅置管引流吸除血肿 49例的疗效。方法 :选择血肿面积最大平面 ,计算穿刺深度 ,避开大血管或重要功能区 ,确定钻孔位置 ,局麻后用匙孔大骨锥经皮锥颅插管引流。结果 :按日常生活能力恢复Ⅰ～Ⅳ级 43例(87.8% ) ,疗效满意。结论 :术式操作简单 ,对脑组织创伤轻微 ,时间短 ,反应轻 ,术后恢复良好。
Objective: To report the curative effect of 49 cases of hypertensive intracerebral hemorrhage with keyhole conization and cranial drainage. Methods: Select the largest plane hematoma area, calculate the depth of puncture, to avoid large blood vessels or important functional areas to determine the location of drilling, local anesthesia with keyhole large bone cones percutaneous transcranial catheter drainage. Results: According to the daily living ability, grade Ⅰ ~ Ⅳ were recovered in 43 cases (87.8%), and the curative effect was satisfactory. Conclusion: The procedure is simple and easy to operate. The trauma to the brain tissue is slight, the time is short, the reaction is light and the postoperative recovery is good.