颅内破裂动脉瘤栓塞术后腰大池引流术治疗体会  

Experience in the Treatment of Lumbar Cistern Drainage After Embolism of Ruptured Intracranial Aneurysm

作　　者：周加浩[1] 邓引生[1] 蒋明[1] ZHOU Jiahao;DENG Yinsheng;JIANG Ming(Department of Neurosurgery,Affiliated Hospital of Jiangsu University,Zhenjiang Jiangsu 212000,China)

机构地区：[1]江苏大学附属医院神经外科,江苏镇江212000

出　　处：《中国卫生标准管理》2020年第6期76-78,共3页China Health Standard Management

摘　　要：目的分析将腰大池引流术应用在颅内破裂动脉瘤栓塞术后的治疗效果。方法选取2017年1月-2019年12月在我院进行颅内破裂动脉瘤栓塞术的患者,共50例,根据入院时间分为S组和D组,D组实施常规腰穿术放脑脊液,S组实施腰大池引流术放脑脊液,对比两组患者的各项临床指标评分和平均引流时间以及出现并发症的情况。结果S组患者的各项临床指标评分优于D组患者的各项临床指标评分(P<0.05);S组患者的平均引流时间(8.53±1.22)低于D组患者的平均引流时间(10.06±2.05)(P<0.05);S组患出现并发症发生率低于D组患者的(P<0.05)。结论对实施颅内破裂动脉瘤栓塞术的患者予以持续腰大池引流术可以有效减少患者的平均引流时间,并降低患者出现并发症发生率。Objective To analyze the therapeutic effect of lumbar cistern drainage after embolization of intracranial ruptured aneurysm.Methods From January 2017 to December 2019,50 patients who underwent embolization of intracranial ruptured aneurysm in our hospital were divided into group s and group D according to the time of admission.Group D received routine lumbar puncture and drainage of cerebrospinal fluid,group S received drainage of lumbar cistern and drainage of cerebrospinal fluid.Results The clinical index scores of patients in group S were better than those of group D(P<0.05);the average drainage time of patients in group S(8.53±1.22)was lower than the average drainage time of patients in group D(10.06±2.05)(P<0.05);the incidence of complications in group S was lower than that in group D(P<0.05).Conclusion Continuous lumbar cistern drainage can effectively reduce the average drainage time and the probability of complications in patients with intracranial ruptured aneurysm embolization.

关 键 词：腰大池引流术 常规腰穿术放脑脊液 颅内破裂动脉瘤栓塞术后 治疗 引流时间 并发症 临床指标 

分 类 号：R742[医药卫生—神经病学与精神病学]