颅内血肿“一点两面”定位定向穿刺法

承德医学院学报 ›› 2022, Vol. 39 ›› Issue (1): 30-32.

颅内血肿“一点两面”定位定向穿刺法

赵阳, 董晓辉, 刘东辉, 王光翌

保定市第二医院神经外科,河北保定 071051

收稿日期:2021-10-25 发布日期:2022-07-30

“One Point Two Planes” A New Positioning Method for Puncture Procedure of Intracranial Hematoma

ZHAO Yang, DONG Xiao-hui, LIU Dong-hui, WANG Guang-yi

Department of Brain Surgery, Baoding No.2 Hospital, Baoding, Hebei, 071000, China

Received:2021-10-25 Published:2022-07-30

摘要/Abstract

摘要： 目的寻找一种简便、快捷、准确、经济、易掌握的颅内血肿穿刺定位定向方法。方法选择100例颅内血肿穿刺治疗患者,以CT片中线为基准,标出血肿中心在体表的水平面、冠状面、矢状面的投影位置作为三个靶点,其中一个靶点可作为穿刺点,另两个靶点所在层面作为血肿最大层面及穿刺角度面,即“一点两面”。在穿刺点穿刺时,导管保持在血肿最大层面及穿刺角度面两个面里,即可准确穿刺血肿。结果对100例患者的颅内血肿进行“一点两面”定位定向穿刺,术后复查CT,穿刺位置准确接近血肿中心,准确率100%,平均手术时间30min。结论利用“一点两面”定位定向方法进行颅内血肿穿刺,具有操作简便、快捷、准确、经济、易掌握等优点,尤其适用于基层医院救治急性脑出血患者。

关键词: 颅内血肿, 穿刺, 一点两面

Abstract: Objective To find a convenient, fast, accurate, and cost-saving method for the puncture procedure of intracranial hematoma. Method One hundred patients with intracranial hematoma were selected for puncture treatment. According to the midline position of the CT film, mark the projection positions of the hematoma center on the horizontal plane, coronal plane, and sagittal plane of the body surface respectively. One of the marking points can be used as a puncture point, and the plane of the other two targets can be used as the maximum level and puncture angle of the hematoma, which is called the “one point two planes” method. Results After the puncture procedure, using the “one point two planes” method for positioning. The puncture points were in the hematoma center verified by CD film in the 100 patients. Conclusion The “one point two planes” method is convenient, fast, accurate, and cost-saving method for the puncture procedure of intracranial hematoma and is suitable for basic-level hospitals to treat patients with acute cerebral hemorrhage.

Key words: intracranial hematoma, puncture procedure, one point two planes

中图分类号:

R651.1

赵阳, 董晓辉, 刘东辉, 王光翌. 颅内血肿“一点两面”定位定向穿刺法[J]. 承德医学院学报, 2022, 39(1): 30-32.

ZHAO Yang, DONG Xiao-hui, LIU Dong-hui, WANG Guang-yi. “One Point Two Planes” A New Positioning Method for Puncture Procedure of Intracranial Hematoma[J]. Journal of Chengde Medical University, 2022, 39(1): 30-32.

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