腰大池穿刺持续引流治疗难治性脑脊液漏  

The puncture and continuous external drainage via a lumbar catheter for treating adversity cure cerebrospinal fluid fistula.

作　　者：黄永华 伍志德 侯树勇 

机构地区：[1]韶关市第一人民医院神经外科,广东韶关512000

出　　处：《临床和实验医学杂志》2007年第3期23-24,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的通过对比探讨治疗难治性脑脊液漏的新方法-腰大池穿刺持续引流的临床疗效。方法收集60例临床上由于各种原因导致的难治性脑脊液漏行腰大池穿刺持续引流治疗为治疗组,20例采用保守治疗加上间断腰大池穿刺引流的传统治疗方法为对照组,分别比较其疗效。结果治疗组治愈率为93.3%(56/60),有1例并发颅内感染,经强效抗生素治疗后治愈。而对照组的治愈率仅为30.0%(6/20),发生颅内感染5例,死亡1例。结论与传统治疗方法相比,腰穿持续引流是一种更有效的治疗难治性脑脊液漏的方法。Objective To explore the clinical effect of the new therapeutic strategy - - puncture and continuous external drainage via a lumbar catheter of adversity cure eerebrospinal fluid （CSF） fistula. Methods 60 eases every kinds of matter of adversity cure CSF fistula were collected as treated group, treated by puncture and continuous external drainage of lumbar catheter. 20 eases were control group, treated with conservative therapy and discontinuity puncture and continuous external drainage of lumbar catheter, Then compare the curative effects among the two groups, Results The cure rate of treated group was 93, 3% （56/60）, there were 1 eases concurrent with intracranial infection in treated group, it was cured by antibiotics. The cure rate of control group was 30.0% （6/20）, there were 5 eases concurrent with intraeranial infection and 1 ease died. Conclusion Compared with traditional therapeutic methods, puncture and continuous external drainage via a lumbar catheter is a safe and effective method for curing the CSF fistula.

关 键 词：腰大池 持续引流 脑脊液漏 穿刺 

分 类 号：R651.1[医药卫生—外科学]