Application of quick percutaneous puncture drainage technique according to CT scanning to treat hypertensive in-tracerebral hemorrhage

SUN Junfeng; XIONG Dongsheng; GAO Qiang; WEI Yijun; SHAO Wei; WANG Xiaofeng; WANG Maode

doi:10.3969/j.issn.1671-6450.2016.04.007

Abstract：Objective To observe the clinical effect of minimally invasive puncture and drainage of hypertensive cer-ebral hemorrhage by manual technique.Methods From June 2010 to June 2015, hypertensive intracerebral hemorrhage clini-cal data of 148 patients in department of neurosurgery, Baoji City People's Hospital and Liberation Army third Hospital were retrospectively analyzed, these patients received unarmed directional technology by drilling skull or after skull skin silicone tube puncture drainage.According to the CT to design body puncture point, target and path of puncture, correct the angular line ( OM) and to calculate and determine puncture axial surface, measuring puncture dot from the midline of the body surface arc determined puncture on the coronal plane, measure the puncture direction to the side surface before the dot pitch distance from the midline of the body surface curve design structure of side marker to guide sagittal puncture angle.Results Total of 148 cases and 192 target points, and reached the hematoma cavity predetermined target in 142 (74.0%), hematoma cavity but deviates from a predetermined target in 28 (14.6%), in the surrounding hematoma but can meet the drainage require-ments in 19 (9.9%) , hematoma deviation need to re adjust the puncture drainage tube in 3 (1.6%) and puncture rate was 98.4%.Conclusion Unarmed directional technology do not need to install the frame or special instrument, only based on CT image, design good intracerebral hematoma puncture point within a few minutes, direction and depth of the puncture is a simple, accurate, safe and effective directional puncture technique and the clinical treatment effect of good.