微创穿刺血肿清除术配终池置管持续引流术治疗继发性脑室出血研究  

作　　者：周少华[1] 虞曙霞[1] 邓晓玲[1] 

机构地区：[1]郧阳医学院附属人民医院神经内科,湖北十堰442000

出　　处：《脑与神经疾病杂志》2008年第1期61-62,共2页Journal of Brain and Nervous Diseases

摘　　要：目的:探讨微创穿刺血肿清除术配终池置管持续引流术治疗继发性脑室出血患者的临床疗效。方法:49例采用微创穿刺及终池置管术治疗的患者为观察组。42例行内科保守治疗的患者为对照组,随机分组,进行统一的神经功能缺损评分和疗效评定。结果:观察组总有效率77.6%,死亡率10.2%;对照组总有效率33.3%,死亡率30.9%。两组经卡方检验,P<0.01,有显著差异。结论:微创穿刺血肿清除术配终池置管持续引流术是治疗继发性脑室出血的有效方法。Objective.. To determine the effectiveness of microtrauma evacuation of hematoma combined with continuous tube drainage in terminal cistern for the secondary ventricular hemorrhage. Methods.. 49 patients with secondary ventricular hemorrhage were selected as an observe group, which treated with microtrauma evacuation of hematoma combined with continuous tube drainage in terminal cistern; 42 patients were selected as a control group treated with medicine conservational cure; All patients were assessed with neurologic defecit scales and two groups curative effects were determined respectively. Results.. The total efficient rate is 77.6% and the death rate is 10.2% in the observe group; The total efficient rate is 33.3 %, and the death rate is 30.9 % in the control group. There were significantly different in 2 group（P〈 0.01） tested by Х^2 test. Conclusions： Microtrauma evacuation of hematoma combined with continuous tnbe drainage in terminal cistern is an effective treatment to secondary ventricular hemorrhage.

关 键 词：微创穿刺 终池置管 脑室出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]