神经内镜在丘脑出血破入脑室侧脑室外引流术中的应用研究  

Application of Neuroendoscopy in Lateral Ventricular Extraventricular Drainage for Thalamic Hemorrhage Breaks into the Ventricle

作　　者：周贤文[1] 王莹[1] 贾强[1] 徐劲松[1] 王志强[1] ZHOUXianwen;WANG Ying;JIA Qiang(Binzhou Center Hospital,Huimin 251700,China)

机构地区：[1]滨州市中心医院

出　　处：《中外医学研究》2019年第21期23-24,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨神经内镜在丘脑出血破入脑室侧脑室外引流术中的应用效果。方法:选取2014年10月-2018年1月在笔者所在医院神经外科就诊的36例丘脑出血破入脑室患者作为本次研究对象,将其随机分为对照组和观察组,每组18例。对照组采取单纯侧脑室外引流术,观察组在神经内镜下进行侧脑室外引流术,比较两组患者术后恢复情况及并发症发生情况。结果:术后随访1年,观察组的预后良好率为83.3%,明显优于对照组的33.3%,差异有统计学意义(P<0.05)。观察组并发症发生率为27.8%,明显低于对照组的50.0%,差异有统计学意义(P<0.05)。结论:应用神经内镜对丘脑出血破入脑室行侧脑室外引流手术,有助于提升患者术后恢复水平,降低并发症发生率,进而提高患者术后生存质量,可进行临床推广。Objective:To investigate the effect of neuroendoscopy on the thalamic hemorrhage breaks into the ventricle lateral ventricular extraventricular drainage.Method:A total of 36 cases of patients with thalamic hemorrhage broken into the ventricle who were treated in the neurosurgical department of our hospital from October 2014 to January 2018 were selected as the research objects.They were randomly divided into control group and observation group,18 cases in each group.The control group received simple lateral ventricular extraventricular drainage,and the observation group received lateral ventricular extraventricular drainage under neuroendoscopy.The postoperative recovery and complications were compared between the two groups.Result:After one year follow-up,the good prognosis rate of the observation group was 83.3%,which was significantly better than 33.3% of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 27.8%,which was significantly lower than that in the control group 50.0%,the difference was statistically significant(P<0.05).Conclusion:The application of neuroendoscopy for lateral ventricular extraventricular drainage of thalamic hemorrhage breaks into the ventricle is helpful to improve the recovery level of patients after operation,reduce the incidence of complications,and improve the quality of life of patients after operation.It can be popularized in clinic.

关 键 词：丘脑出血破入脑室 侧脑室外引流手术 神经内镜 

分 类 号：R651.1[医药卫生—外科学]