脑室外联合腰大池引流治疗脑室出血并发脑积水  

Treatment of external ventricular drainage combined with lumbar cistern drainage for ventricular hemorrhage complicated by hydrocephalus

作　　者：吴立平[1] 张代龙[1] 邓景阳[1] 

机构地区：[1]南方医科大学附属东莞市石龙人民医院神经外科,523326

出　　处：《中国微侵袭神经外科杂志》2010年第7期304-305,共2页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的总结脑室外联合腰大池引流治疗脑室出血并发脑积水的疗效。方法回顾性分析45例脑室出血并发脑积水病人的临床资料,其中采取脑室外联合腰大池引流(联合组)16例,采取单纯脑室外引流(单纯组)29例。对两组因脑积水需行脑室-腹腔分流术的病例进行统计分析。结果联合组腰大池引流时间5～25d,平均12d;脑室外引流时间4～18d,平均12d。单纯组引流时间8～24d,平均16d。术后并发颅内感染,联合组1例(6.3%),单纯组3例(10.3%);引流管堵塞或脱落,联合组和单纯组各2例。术后需行脑室-腹腔分流术,联合组3例(18.7%),单纯组10例(34.5%),两组比较差异具有统计学意义(P<0.05)。结论早期脑室外联合腰大池引流是治疗脑室出血并发脑积水安全而有效的措施。Objective To summarize the effect of external ventricular drainage combined with lumbar cistern drainage for ventricular hemorrhage complicated by hydrocephalus.Methods Clinical data from 45 patients were analyzed retrospectively.The external ventricular drainage combined with lumbar cistern drainage（com-group） was performed in 16 patients,while simple external ventricular drainage（sim-group） in 29.The necessity for ventriculo-peritoneal（V-P） shunt in both groups was analyzed with SPSS 13.0.Results In com-group,the time of lumbar cistern drainage ranged from 15 to 25 days with a mean of 12 days,and the time of external ventricular drainage was 4 to 18 days with a mean of 12 days.While the drainage time of the sim-group ranged from 8 to 24 days with a mean of 16 days.Only 1 patient（6.3%） was complicated with intracranial infection in the com-group and 3（10.3%） in the sim-group.Drainage tube clogged or came off in 2 patients in each group.Three patients（18.7%） received V-P shunt in com-group,while 10（34.5%） in sim-group.There was a significant difference between the two groups（P 0.05）.Conclusions A combination of early external ventricular drainage and lumbar cistern drainage is safe and effective for treatment of communicating hydrocephalus after ventricular hemorrhage.

关 键 词：脑室出血 脑积水 引流术 

分 类 号：R651.1[医药卫生—外科学] R742.7[医药卫生—临床医学]