改良式侧脑室和腰椎蛛网膜下腔持续交替引流术治疗脑室出血的疗效观察  

Efficacy of a modified continuous alternative drainage between lateral ventricle and lumbar subarachnoid in the treatment of ventricular hemorrhage

作　　者：龙勇[1] 康东[1] 曾春[1] 蒋永明[1] 

机构地区：[1]四川省遂宁市中心医院神经外科,四川遂宁629000

出　　处：《实用医院临床杂志》2015年第6期120-123,共4页Practical Journal of Clinical Medicine

基　　金：四川省卫生厅科研基金资助项目(编号:140106)

摘　　要：目的总结改良式侧脑室和腰椎蛛网膜下腔持续交替引流术治疗脑室出血(intraventricular hemorrhage,IVH)的临床疗效。方法我科2010年1月至2014年12月收治的IVH并发脑积水患者60例,按照随机数字表法分为观察组和对照组各30例,观察组实施改良式侧脑室和腰椎蛛网膜下腔持续交替引流术,对照组采取单侧(血肿量多侧)脑室钻孔引流术,比较两组血肿清除时间、引流管拔除时间、术后并发症及术后3个月Barthel评分。结果观察组血肿清除时间、引流管拔除时间及并发症发生率均少于对照组(P<0.05),术后3个月Barthel评分优于对照组,差异有统计学意义(P<0.05)。结论 IVH合并脑积水患者实施改良式侧脑室和腰椎蛛网膜下腔持续交替引流术治疗效果好,值得临床推广。Objective To summarize the clinical efficacy of a modified continuous alternative drainage between lateral ventricle and lumbar subarachnoid for the treatment of ventricular hemorrhage. Methods Sixty patients with ventricular hemorrhage combined with hydrocephalus were treated at our department from January 2010 to December 2014. The patients were randomly divided into observation and control groups,30 cases in each group. The observation group was treated with the modified drainage while the control group was treated with a unilateral ventricular drainage hole（ hematoma quantity side）. The hematoma removal time,the drainage tube removal time,postoperative complications and Barthel score after 3 months of the treatments were compared. Results The hematoma removal time and drainage tube removal time in the observation group were significant less than that in the control group（ P〈0. 05）.The postoperative complications in the observation group were obviously less than that in the control group（ P〈0. 05）. The Barthel score in the observation group after 3 months of the treatment was better than that in the control group（ P〈0. 05）. Conclusion The efficacy of the modified drainage technique for ventricular hemorrhage with hydrocephalus is good. It is worthy of clinical promotion.

关 键 词：脑室出血 脑积水 钻孔引流术 

分 类 号：R651.12[医药卫生—外科学]