小骨窗开颅经额入路脑室内血肿清除术治疗侧脑室出血并铸型的研究  

Study on microsurgical treatment of intraventricular hematoma and interventricular hemorrhage cast through frontal lobe small bone window craniotomy approach

作　　者：何洪雨 刘华新 杨志强 于帅 匡虎松 

机构地区：[1]解放军第149医院,江苏连云港222042

出　　处：《现代中西医结合杂志》2015年第35期3902-3904,共3页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的观察小骨窗开颅经额叶入路脑室内血肿清除术治疗侧脑室出血并铸型的效果。方法将90例侧脑室内出血并铸型的患者随机分为2组,观察组45例行小骨窗开颅经额入路脑室内血肿清除术,对照组45例行单纯侧脑室外引流术。术后随访3~6个月,按照格拉斯哥预后评分（GOS）评价2组临床疗效。结果观察组脑室内引流管留置时间及住院时间均明显短于对照组（P均〈0.05）。观察组恢复良好率明显高于对照组（P均〈0.05）,病死率及颅内感染、脑脊液漏发生率明显低于对照组（P均〈0.05）。结论小骨窗开颅经额入路脑室内血肿清除术治疗脑室出血并铸型疗效明显优于单纯侧脑室外引流术。Objective It is to observe the effect of surgical method of microsurgery through frontal lobe small bone window craniotomy approach on intraventricular hematoma and interventricular hemorrhage cast. Methods 90 patients with intraventricular hematoma and interventricular hemorrhage cast were randomly divided into 2 groups. The group（ 45cases） using the method of microsurgery treatment through frontal lobe small bone window approach was treated as observation group while the group（ 45 cases） using the method of simply external ventricular drainage approach was treated as control group. The curative effects were compared 3-6 months postoperatively according Glasgow outcome score. Results The retention time of intraventricular tube and hospitalization time in observation group were obviously shorter than that in control group（ P 〈0. 05）. The good recovery rate in observation group was obviously higher than that in control group（ P 〈0. 05）. The death rate,and occurrence rates of intracranial infection and cerebrospinal fluid leak in observation group were obviously lower than that in control group（ P all 〈0. 05）. The differences were statistical significance（ P 〈0. 05）. Conclusion The surgical method of microsurgery through frontal lobe small bone window craniotomy approach on intraventricular hematoma and interventricular hemorrhage cast is obviously better than that through simply external ventricular drainage approach.

关 键 词：小骨窗开颅 脑出血 脑室铸型 脑室外引流 

分 类 号：R743.34[医药卫生—神经病学与精神病学]