立体定向技术在抗凝或抗栓药物相关脑出血治疗中的应用

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Applicationof Stereotactic Technology in the Treatment of Cerebral HemorrhageRelated to Anticoagulant or Antithrombotic Drugs/HUANG Qiwei， GAO Xiang， JIANGWenqu.//Medical Innovation of China，2025，22（19）： 049-053

[Abstract]Objective： To explore the application of stereotactic technology in the treatment of cerebral hemorrhage related to anticoagulant or antithrombotic drugs.Method： A total of 66 patients with cerebral hemorrhagerelated toanticoagulantorantithromboticdrugsadmitedto Jiujiang UniversityAffiliated Hospital from January 2O19 to April 2O24 were selected as the research subjects.They were divided into group A （treated with smallbone window craniotomyandendoscopic hematoma evacuation，n=22），group B （treated withCTsimple positioning puncture technique， n =22） and group C （stereotactic technology for puncture treatment， n =22）. The positioning accuracy，hematoma evacuation speed，size of cerebral edema area，Glasgow coma scale （GCS） score， lengthofhospitalstaymortalityrate，disabilityrateandrebleedingrateofthethreegroupswereevaluated.Result：The positioning accuracy，hematoma emptying speed andGCS score in group C were allhigher than those ingroup A and groupB，andthose in groupBwere allhigher than thoseingroupA，thediferences were statisticallysignificant 0 P-

[Key Words]Cerebral hemorrhage related to anticoagulant or antithrombotic drugsSmall bone window craniotomy and endoscopic hematoma evacuation CT simple positioning puncture techniqueStereotactic technologyPositioning accuracyMortality rateDisability rateRebleeding rate

First-author's address： Neurosurgery Department， Jiujiang University Affiliated Hospital， Jiujiang 332000， China

doi：10.3969/j.issn.1674-4985.2025.19.012

近年来，随着社会的快速发展，人口老龄化的趋势日益加重，心脑血管疾病的发病率呈现逐年升高的趋势，且心脑血管疾病病情迁延，较难完全治愈[1。（剩余5055字）