Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage

IF 1.3 Q4 CLINICAL NEUROLOGY

Brain Hemorrhages Pub Date : 2023-09-01 DOI:10.1016/j.hest.2023.03.001

Danyang Chen , Jinhua Yang , Robert P. Ostrowski , Yunjie Li , Yuxiong Wang , Zeyu Li , Yong Yang , Shiquan Li , Jieming Li , Simin Li , Yonghui Xiong , Shuisheng Rong , Chao Pan , Zhouping Tang

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引用次数: 0

Abstract

Sixty-three patients admitted to 5 hospitals in 2014–2020 for the treatment of severe hypertensive brainstem hemorrhage by CT-guided and bone marker-oriented transcerebellar aspiration were enrolled in this study. The puncture accuracy, duration of hematoma removal, tracheal decannulation, postoperative complications, postoperative consciousness recovery time, Glasgow Outcome Scale (GOS) score, and prognosis outcome at follow-up were retrospectively analyzed. Additionally, the relationship between admission Glasgow Coma Scale (GCS) score and GOS score, and between hematoma volume and prognosis of patients was analyzed at follow-up. Results showed that CT localization–based and bone marker oriented transcerebellar hematoma aspiration in the treatment of severe hypertensive brainstem hemorrhage ensures high puncture accuracy, relatively low surgery risk, and good prognosis. The prognosis relates to the state of consciousness and hematoma volume.

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ct辅助定位及骨标记导向经小脑穿刺治疗脑干出血的临床研究

本研究纳入了2014-2012年5家医院收治的63名患者，他们通过CT引导和骨标记导向的小脑穿刺治疗严重高血压脑干出血。对穿刺准确性、血肿清除时间、气管插管、术后并发症、术后意识恢复时间、格拉斯哥预后量表（GOS）评分和随访预后进行回顾性分析。此外，在随访中分析了入院格拉斯哥昏迷评分（GCS）与GOS评分之间的关系，以及血肿体积与患者预后之间的关系。结果表明，基于CT定位和骨标志物导向的小脑血肿抽吸治疗重型高血压脑干出血，穿刺准确率高，手术风险相对较低，预后良好。预后与意识状态和血肿体积有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain Hemorrhages Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

22 days