腰大池置管持续引流治疗脑脊液漏的临床疗效  

Clinical efficacy of lumbar catheters continuous drainage in the treatment of cerebrospinal fluid leakage

作　　者：于江龙 兰世英[2] 

机构地区：[1]新疆库尔勒巴州人民医院神经外科,新疆库尔勒841000 [2]新疆医科大学第一附属医院妇科,乌鲁木齐830011

出　　处：《新疆医科大学学报》2012年第9期1224-1227,1233,共5页Journal of Xinjiang Medical University

摘　　要：目的探讨腰大池置管持续外引流方法治疗脑外科疾病的临床效果。方法选择新疆库尔勒巴州人民医院神经外科2008年10月-2011年11月收治的脑脊液漏患者52例作为研究对象,将其分为两组:对照组(25例)采用常规每天行腰穿术放脑脊液治疗;治疗组(27例)进行腰大池置管持续外引流治疗,比较两组患者治疗前后的格拉斯评分(GCS)、治疗中的各项指标及临床疗效,术后均随访12个月,观察并发症发生情况。结果治疗组每日脑脊液引流量明显高于对照组(P<0.05);治疗组头痛持续时间、脑脊液消失时间及住院时间均短于对照组(P<0.05);治疗组治愈率为62.9%,高于对照组40.0%(P<0.05);治疗组治疗后的GCS评分明显高于对照组(P<0.05);两组并发症发生情况比较差异无统计学意义(P>0.05)。结论腰大池置管持续外引流治疗脑脊液漏的临床疗效优于传统的腰穿术,值得推广应用。Objective To investigate the clinical efficacy of lumbar continuous drainage in the treatment of diseases of brain surgery. Methods Cerebrospinal fluid leakage in patients 52 cases were admitted to the hospital between October 2008 and November 2011 were stochastically divided into control group and treatment group. 25 cases in control group were adopted the therapy of conventional daily lumbar puncture to release cerebrospinal fluid 27 cases in treatment group were given lumbarcatheters continuous drainage treatment, compared with the glass score （GCS） between the two groups of patients, each target in treat- ment, the clinical curative effect, after the technique, two groups were averagely made a follow-up visit for 12 months. Observed complication occurrence, and carried on the statistical analysis. Results The rate of cerebrospinal fluid leakage in treatment group was significantly higher than that in control group （P 〈0. 05）; Headache duration, the disappearing time and lenth of stay of the treatment group were lower than those of the control group （P 〈0.05）. The cure rate was 62.9% in treatment group which was higher than that in control group （40.0G, P 〈0.05）. The GCS score of treatment group was significantly higher than that in control group （P 〈0.05）. Two groups of complications comparative differences was statisti cally significant （P 〉0.05）. Conclusion The clinical efficacy of lumbar catheters continuous drainage in treatment of cerebrospinal fluid leakage is superior to the that of the traditional lumbar puncture. It Should be widely applied .

关 键 词：腰大池置管引流 脑脊液漏 临床疗效 

分 类 号：R742.7[医药卫生—神经病学与精神病学]