脑室型颅内压监测在控制性阶梯式减压术中的应用  

Application of cerebral ventricular pressure monitoring in controlled stepped intracranial decompression surgery

作　　者：李晓斌 苏忠周 LI Xiaobin;SU Zhongzhou(Central Hospital of Huzhou, Zhejiang 313000, China)

机构地区：[1]浙江省湖州中心医院,湖州313000

出　　处：《浙江创伤外科》2018年第6期1077-1079,共3页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探讨脑室型颅内压(ICP)监测在治疗重型颅脑损伤的控制性阶梯式去大骨瓣减压术中的应用。方法回顾性分析40例重型颅脑损伤手术患者的临床资料,观察组在控制性阶梯式去大骨瓣减压术中应用脑室型颅内压监测与常规去大骨瓣快速减压术对照组的比较。结果观察组患者术中急性脑膨出、迟发性血肿、术后脑梗塞的发生率比对照组明显降低,预后良好率明显高于对照组。结论脑室型颅内压监测应用于控制性阶梯式去大骨瓣减压手术,能有效减少去骨瓣减压术中出现的恶性脑膨出、迟发性血肿及术后脑梗塞等情况,改善重型颅脑损伤手术患者的预后。Objective To investigate the application of cerebral ventricular pressure(ICP)monitoring in the treatment of severe craniocerebral injury with controlled stepped intracranial decompression surgery.Methods The clinical data of40patients with severe craniocerebral injury were retrospectively analyzed.The observation group(underwent controlled stepped type decompression)was compared with the control group(underwent decompression of routine standard large craniotomy).Results The incidence of acute encephalocele,delayed hematoma and postoperative cerebral infarction in the observation group was significantly lower than those in the control group,and the prognosis rate was significantly higher in the observation group than in the control group.Conclusion Intraventricular intracranial pressure monitoring for controlled stepped decompression can improve the prognosis of patients with severe craniocerebral injury.

关 键 词：颅内压监测 控制性减压 重型颅脑损伤 去骨瓣减压 

分 类 号：R651.1[医药卫生—外科学]