脑外伤手术患者伴Labbe静脉损伤临床分析  

Clinical analysis of patients with traumatic brain injury with vein of Labbe injury

作　　者：杨帆[1] 娄永利[2] YANG Fan;LOU Yongli(Zhengzhou Central Hospital,Xinxiang Medical College,Zhengzhou 450000,China)

机构地区：[1]新乡医学院,河南新乡453003 [2]郑州市中心医院,河南郑州450000

出　　处：《中国实用神经疾病杂志》2019年第20期2246-2251,共6页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析脑外伤手术患者伴Labbe静脉损伤的临床处置及效果。方法选取2015-12-2017-11的脑外伤手术合并Labbe静脉损伤患者46例,随机分为对照组及观察组,对照组23例采用静脉阻塞治疗,观察组23例采用静脉修复治疗,对比2组治疗效果。结果对照组恶性脑肿胀、迟发性脑内血肿、偏瘫、静脉梗死等并发症发生率明显高于观察组,差异有统计学意义(P<0.05)。观察组病死率明低于对照组,差异有统计学意义(χ~2=4.60,P=0.032)。结论相对于静脉阻塞治疗,静脉修复手术能够显著降低脑外伤手术合并Labbe静脉损伤患者的病死率。Objective To analyze the clinical management and effect of Labbe’s vein injury in patients with traumatic brain injury.Methods Forty-six patients with traumatic brain injury and Labbe venous injury from December 2015 to November 2017 were randomly divided into control group and observation group.23 patients in the control group were treated with venous occlusion,and 23 patients in the observation group were treated with vein repairment,the effects of the two groups of treatment were compared.Results The incidence of complications,such as malignant brain swelling,delayed intracerebral hematoma,hemiplegia and venous infarction in the control group was significantly higher than that in the observation group(P<0.05).The mortality rate of the observation group was significantly lower than that of the control group,and there was a statistically significant difference(χ~2=4.60,P=0.032).Conclusion Compared with venous occlusion,venous repair surgery can significantly reduce the mortality of patients with traumatic brain injury and Labbe vein injury.

关 键 词：脑外伤 脑挫裂伤 Labbe静脉损伤 下吻合静脉 静脉阻断 静脉修复 

分 类 号：R651.11[医药卫生—外科学]