CT三维重建矢状位矩形定位定向法在经额微创治疗基底节区血肿的应用.pdfVIP

·296· ·学术交流· CT三维重建矢状位矩形定位定向法在经额微创治疗 基底节区血肿的应用 f摘要】 目的探讨cT三维重建矢状位矩形定位定向法在经额微创治疗基底节医m肿的应用。方法 对48例高m压性基底节区脑m血患者术前行cT薄层扫描，并三维重建，经额定位定向尺辅助，经额行锥颅 定向穿刺置管血肿清除术。术后一即复查颅脑CT测量达靶点的误差，术后1个月的进行临床疗效评定。结 果存经额定位定向尺的辅助下对48例患暂行穿刺术，穿刺均达预设的靶点，平均误差为(4±12)mm；术后 3 2±14 d血肿清除率达(80 6)％；术肝无气颅及颅内感染。、术后1个且基本瘴愈10例，艟著进步8例，进步 23例，无散或恶化2例，死亡5例；总有效率85．4％。，结论CT三维重建矢状矩形位定位定向法是经额穿刺 治疗基底节区血肿可靠的方法。 【关键词】基底节区血肿；经额t微创穿刺；定位 1 【中图分类号】R651 【文献标识码】A 【文章编号】1004—1648(2012)04—0296-03 of locationandorientationin ofCTthree·dimensional Applicationrectangular sa百ttalplane reconstructionin invasivetransfrontal forbasal WANG minimally puncturedrainage gangliahemorrhage ttong-wei．DepartraemofNeurosuqffery，LqingHosp女al，LbW@g252600，China To the of k,cationandmientationin of Abstract：0bjective sagittalplane investigateapplirationrectangular CTthree—dimensionalreeonstlqletionin invasivetransfi-ontal forbasal minimally puneluredrainage ganglia Methods with basal hematnmareceivedCTthinslicescanand hernonhage Fonv—eightpatientshypertensiveganglia madethree—dimensionalreconstructionbefore Then invasive imaging operationminimally transfronta]puneture wascarriedout the CTscanwas forassessmentof needle drainage byusingdesignedapparatus performed puncture at theclinicalcurativeeffectwas at 1 mouthafter Results placementpostoperativeimmediate，and Judged operation invasive wascarriedout the in48 。Iheminimally transffonta[puncturedrainage byusingdesignedapparatuspatients