微创软通道穿刺技术联合脑室外引流治疗自发性小脑出血的疗效观察及思考  

Minimally invasive soft channel puncture combined with ventricular drainage in treatment of spontaneous cerebellar hemorrhage

作　　者：骆安林 吴世强 方挺 孙双喜 Luo Anlin;Wu Shiqiang;Fang Ting;Sun Shuangxi(Department of Neurosurgery,Yangchun People's Hospital,Yangjiang 529600,China)

机构地区：[1]阳春市人民医院神经外科,529600

出　　处：《国际医药卫生导报》2019年第21期3605-3607,共3页International Medicine and Health Guidance News

摘　　要：目的探讨微创软通道穿刺技术联合脑室外引流治疗小脑出血的临床疗效及相关思考.方法选取2015年3月至2019年3月本院收治小脑出血患者中行微创软通道穿刺加脑室外引流术治疗的患者12例,分析患者一般资料、手术过程及术后情况,探讨小脑出血特点、手术指征及手术治疗小脑出血的发展方向.结果术后11例患者血肿清除满意,其中2例患者再出血,经过引流,血肿均得到清除,好转出院4例,自动出院6例,死亡2例;术前7例神志昏迷患者中,清醒2例,昏迷3例,死亡2例,术前5例嗜睡患者中,清醒2例,嗜睡1例,昏迷2例.结论微创软通道穿刺联合脑室外引流术治疗小脑出血需把握小脑解剖及出血特点,把握手术指征,综合多方面因素做出决策,且微创软通道救治小脑出血符合神经外科发展方向,对于救治小脑出血具有积极的意义.Objective To investigate the clinical effect of minimally invasive soft channel puncture combined with lateral ventricular drainage in the treatment of spontaneous cerebellar hemorrhage.Methods 12 patients with cerebellar hemorrhage treated by minimally invasive soft channel puncture combined with lateral ventricular drainage from March,2015 to March,2019 were retrospectively summarized.We analyze the patients’general data,surgical process and post-operative situation.We discussed the characteristics,indications and development direction of surgical treatment of cerebellar hemorrhage.Results 11 patients were satisfied with the effect of hematomas removal;2 patients had re-bleeding,and their hematomas were removed after drainage;4 patients recovered and were discharged;6 patients were discharged automatically;and 2 patients died.Of the 7 patients with coma before operation,2 were awake,3 comatose,and 2 dead.Of the 5 patients with sleepiness,2 were awake,1 sleepy,and 2 comatose.Conclusions When applying minimally invasive soft channel puncture combined with lateral ventricular drainage in the treatment of cerebellar hemorrhage,we need to grasp the characteristics of cerebellar anatomy and hemorrhage and the surgical indications,and make a choice based on various factors.Minimally invasive soft channel puncture combined with lateral ventricular drainage in the treatment of cerebellar hemorrhage conforms to the direction of neurosurgery development,and has a positive significance for the treatment of spontaneous cerebellar hemorrhage.

关 键 词：微创软通道穿刺技术 脑室外引流 自发性小脑出血 

分 类 号：R47[医药卫生—护理学]