腰大池引流在颅内动脉瘤开颅患者中的临床应用  

Clinical analysis of lumbar drainage of cerebrospinal fluid in the craniotomy treatment of in- tracranial aneurysm

作　　者：夏凯[1] 陈清山[1] 刘昆[1] 刘杰[1] 

机构地区：[1]泰山医学院附属聊城市第二人民医院神经外科,山东临清252600

出　　处：《中国实用医刊》2016年第21期82-84,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨腰大池引流在颅内动脉瘤开颅手术患者中的临床应用价值。方法颅内动脉瘤开颅手术患者96例，治疗组51例患者在颅内动脉瘤开颅手术中行腰大池引流，对照组45例在颅内动脉瘤开颅手术后每天腰椎穿刺，通过比较开颅手术中颅内压、开颅术后症状性脑血管痉挛及脑积水的发生率评定疗效。结果开颅术中行腰大池引流者颅内压低，分离侧裂容易，对脑组织损伤小；治疗组术后症状性脑血管痉挛发生率及脑积水发生率分别为13．7％和9．8％，均明显低于对照组的33．3％和20．0％。结论腰大池引流能减轻动脉瘤开颅手术时对脑组织的牵拉损伤，减少开颅术后症状性脑血管痉挛、脑积水的发生率，且操作简易，疗效可靠，值得临床推广应用。Objective To investigate the value of lumbar drainage of cerebrospinal fluid in the craniotomy treatment of intracranial aneurysm. Methods Ninety-six patients with intracranial aneurysm underwent craniotomy were selected, 51 patients in the treatment group were given lumbar drainage of ce- rebrospinal fluid during the operation, 45 patients in the control group received daily lumbar drainage. The complications and outcomes were measured. Results Lumbar drainage of eerebrospinal fluid can re- duce the intraeranial pressure and make it easy to separate sylvian fissure during the operation. The pres-ence of continuous lumbar drainage of cerebrospinal fluid conferred a statistically significant protective and beneficial effect, and the incidence of symptomatic cerebral vasospasm and hydrocephalus in treat- ment group were 13.7% and 9.8%, they were significant lower than those in the control group. Conclusions Lumbar drainage of cerebrospinal fluid in the craniotomy treatment of intracranial aneu- rysm can reduce complications and improve outcomes.

关 键 词：腰大池引流 颅内动脉瘤 症状性血管痉挛 脑积水 

分 类 号：R651.12[医药卫生—外科学]