脑室镜手术与传统开颅手术治疗脑室出血的疗效对比分析  

COMPARISON BETWEEN THE EFFICACY OF INTRAVENTRICULAR HEMORRHAGE BY VENTRICLE SURGERY AND TRADITIONAL CRANIOTOMY

作　　者：林晓[1] 张超元[2] 

机构地区：[1]广西平南县人民医院神经外科,平南537300 [2]广西医科大学第一附属医院神经外科

出　　处：《现代预防医学》2010年第20期3966-3967,3970,共3页Modern Preventive Medicine

摘　　要：[目的]比较传统开颅手术和脑室镜手术两种方法治疗脑室出血的临床疗效。[方法]选取2007年1月～2009年1月来本院就诊的80例脑室出血患者作为研究对象,随机分为观察组和对照组,观察组采取脑室镜手术进行治疗,对照组采用传统的开颅手术进行治疗,对比分析两组治疗后临床疗效。[结果]治疗2周后,观察组脑室血肿完全清除率(75.0%)高于对照组(45.0%);观察组治疗的显效率和总有效率分别为25.0%和85.0%,均高于对照组;治疗后,观察组神经功能缺损评分(11.0±2.7)低于对照组(16.5±2.6);治疗3个月后,观察组ADL达到良好功能状态者11例(28.2%),高于对照组为4例(11.1%)。[结论]脑室镜手术创伤小、恢复快、病死率低,临床疗效优于传统的开颅手术。[Objective] To compare clinic efficacy of the traditional craniotomy and ventricular surgery in treatment of intraventricular hemorrhage.[Methods] From January 2007 to January 2009,80 patients with intraventricular hemorrhage in our hospital were randomly divided into observation group and the control group,the observation group was treated by intraventricular surgery,and the control group was treated by traditional craniotomy surgery.We compared with the clinic efficacy.[Results] After 2 weeks of treatment,the clearance rate of intraventricular hematoma in observation group（75.0%） was significantly higher than that in control group（45.0%）;The excellence rate and total effective rate in the observation group were 25.0% and 85.0%,respectively,which was higher than those in control.After treatment,the neurological deficit score in the observation group（11.0 ± 2.7） was significant lower than that in the control group（16.5 ± 2.6）;After treatment for 3 months,11 cases in the observation group achieved good functional status of ADL（28.2%）,which was higher than the control group（11.1%）.[Conclusion] Ventricle trauma surgery had the aspects of little wound,quick recovery and low mortality,and its clinical efficacy was better than the traditional craniotomy.

关 键 词：脑室出血 脑室镜 传统开颅手术 疗效 

分 类 号：R722.151[医药卫生—儿科]