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Comparison of CT-guided aspiration to key hole craniotomy in the surgical treatment of spontaneous putaminal hemorrhage: a prospective randomized study

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Frontiers of Medicine 2007年第2期1卷 142-146页

作者： ZHAO Jizong ZHOU Liangfu ZHOU Dingbiao WANG Renzhi WANG Mei WANG Dejiang WANG Shuo YUAN Ge KANG Shuai JI Nan ZHAO Yuanli MD YE Xun Department of Neurosurgery Beijing Tiantan HospitalCapital University of Medical SciencesBeijing 100050China Department of Neurosurgery Hua Shan HospitalFudan UniversityShanghai 200040China Department of Neurosurgery General Hospital of People’s Liberation ArmyBeijing 100853China Department of Neurosurgery Peking Union Medical College HospitalBeijing 100730China Institute of Hygienic Economics Beijing 100050China

This study was designed to compare the approaches and efficacies of two different ways of neurosurgical management for spontaneous putaminal hemorrhage(SPH):computed tomographic-guided aspiration(CTGA)and the key-hole approach(KHA).The indications of the two approaches are also *** September 2001 to 2003,a total of 1077 cases of SPH distributed in 135 hospitals all over the mainland of China were included for *** cases had three-month follow-up *** study was designed in a single-blinded manner to compare the efficacies of the different *** were 563 cases in the CTGA group,165 in the KHA group,and 217 cases in the conventional open craniotomy(COC)*** the CTGA and KHA groups,the mortalities at one month after operation(M1m)were 17.9% and 18.3%,respectively,while the mortalities at three months after operation(M3m)were 19.4% and 19.4%,respectively(P>0.05).The postoperative complications due to CTGA(23.7%)were not significantly different from those due to KHA(25.7%)(P=0.420).The M3m of patients with Glasgow coma scale(GCS)h8 was 3.45 and 4.0 times as much as those with GCS>8,*** M3m of patients with complications was 3.92 times as much as those without *** M3m of patients with hemorrhage volume ≥70 mL was 2.67 times as much as those50 mL.

关键词： putaminal hemorrhage surgical procedures,operative craniotomy computed tomography guided aspiration key-hole approach

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CT-GUIDED STEREOTACTIC EVACUATION OF HYPERTENSIVE INTRACEREBRAL HEMATOMA

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中华医学杂志(英文版) 1991年第5期104卷 387-391页

作者：刘宗惠田增民陈小菡李士月康桂泉张颐蔡厚珍 Department of Neurosurgery Navy General Hospital Beijing.

From January 1986 to June 1989, the CT-guided stereotactic evacuation was performed in 38 cases of hypertensive intracerebral hematoma with satisfactory result. 24 patients were male and 14 female. The age ranged from 37 to 78 years, with an average of 55. 24 cases had their hematoma in internal capsule, 7 in cerebellum, 5 in subcortex, and 2 in brain stem. The interval between the occurrence of hemorrhage and evacuation of hematoma was 24 hours or less in 18 cases, 2-3 days in 14 and 4-7 days in 6. The volume of bematoma was estimated by CT scanning being more than 100 mi in 6 cases whereas much less in 2 cases of the brain stem.

关键词： putaminal hemorrhage SURGICAL TREATMENT

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