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首页> 外文期刊>Journal of Korean Neurosurgical Society >Stereotactic Multiplanar Reformatted Computed Tomography-Guided Catheter Placement and Thrombolysis of Spontaneous Intracerebral Hematomas
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Stereotactic Multiplanar Reformatted Computed Tomography-Guided Catheter Placement and Thrombolysis of Spontaneous Intracerebral Hematomas

机译：自发性脑血肿的立体定向多平面重新格式化计算机断层扫描引导导管放置和溶栓

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Objective The authors present their experiences with stereotactic multiplanar reformatted (MPR) computed tomography (CT)-guided catheter placement for thrombolysis of spontaneous intracerebral hematoma (sICH) and their clinical results. Methods In 23 patients with sICH, MPR CT-guided catheter placement was used to select the trajectory and target point of hematoma drainage. This group was comprised of 11 men and 12 women, and the mean age was 57.5 years (range, 31-79 years). The patients' initial Glasgow Coma Scale scores ranged from 7 to 15 with a median of 11. The volume of the hematoma ranged from 24 mL to 86 mL (mean 44.5 mL). A trajectory along the main axis of the hematoma was considered to be optimal for thrombolytic therapy. The trajectory was calculated from the point of entry through the target point of the hematoma using reformatted images. Results The hematoma catheter was left in place for a median duration of 48.9 hours (range 34 to 62 hours). In an average of two days, the average residual hematoma volume was 6.2 mL (range 1.4 mL to 10.2 mL) and was reduced by an average of 84.7% (range 71.6% to 96.3%). The residual hematoma at postoperative seven days was less than 5 mL in all patients. There was no treatment-related death during hospitalization. Conclusion The present study indicates that stereotactic MPR CT-guided catheter placement for thrombolysis is an accurate and safe procedure. We suggest that this procedure for stereotactic removal of sICH should be considered for the optimization of the trajectory selection in the future.
机译：目的作者介绍在立体定向多平面重塑（MPR）计算机断层扫描（CT）引导下放置自发性脑内血肿（sICH）的溶栓过程中的经验及其临床结果。方法对23例sICH患者，采用MPR CT引导下的导管置入选择血肿引流的轨迹和目标点。该组由11名男性和12名女性组成，平均年龄为57.5岁（范围31-79岁）。患者最初的格拉斯哥昏迷量表评分范围为7到15，中位数为11。血肿量范围从24 mL到86 mL（平均44.5 mL）。沿血肿主轴线的轨迹被认为是溶栓治疗的最佳选择。使用重新格式化的图像从血肿的进入点到目标点计算轨迹。结果血肿导管留在原处，中位持续时间为48.9小时（范围34至62小时）。平均两天，平均残余血肿体积为6.2 mL（范围为1.4 mL至10.2 mL），平均减少了84.7％（范围为71.6％至96.3％）。所有患者术后7天的残余血肿均小于5 mL。住院期间无与治疗相关的死亡。结论本研究表明，立体定向MPR CT引导的溶栓治疗是一种准确，安全的方法。我们建议为将来优化轨迹选择，应考虑采用这种立体定向去除sICH的程序。

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