神经内镜辅助脑室内血肿引流术治疗丘脑出血破入脑室的临床效果  

Clinical effect of neuroendoscopic-assisted intraventricular hematoma drainage in the treatment of thalamic hemorrhage breaking into ventricles

作　　者：李茂芳 LI Maofang(Second Ward of Neurosurgery Department,Liaoyang Central Hospital in Liaoning Province,Liaoyang,Liaoning,111000)

机构地区：[1]辽宁省辽阳市中心医院神经外科二病房,辽宁辽阳111000

出　　处：《实用临床医药杂志》2020年第9期20-22,26,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨神经内镜辅助脑室内血肿引流术治疗丘脑出血破入脑室的效果。方法将本院70例丘脑出血破入脑室患者按照随机数表法分为观察组和对照组。观察组(n=35)采用神经内镜辅助脑室内血肿引流术清除血肿,对照组(n=35)采用脑室外引流清除血肿。观察2组患者血肿清除率、手术情况、置管时间、并发症发生率及预后情况。结果观察组血肿清除率显著优于对照组,手术时间显著长于对照组,术后引流管放置时间显著短于对照组,术后并发症发生率显著低于对照组(P<0.05);术后随访3个月,观察组预后优良率高于对照组,差异均有统计学意义(P<0.05)。结论神经内镜辅助脑室内血肿引流手术治疗丘脑出血破入脑室,血肿清除率高,并发症及后遗症较少,较常规脑室外引流的治疗效果更佳。Objective To explore the effect of neuroendoscopic-assisted intraventricular hematoma drainage in the treatment of thalamic hemorrhage breaking into ventricles. Methods A total of 70 patients with thalamic hemorrhage breaking into ventricles were randomly divided into observation group and control group according to random number table method. The observation group (n =35) was treated by neuroendoscopic-assisted intraventricular hematoma drainage,while the control group (n = 35) was treated with external ventricular drainage for hematoma removal. The hematoma removal rate,operation condition,catheterization time,incidence of complications and prognosis were observed. Results The clearance of hematoma in the observation group was significantly better,the operation time was significantly longer,and placement time of drainage tube was significantly shorter,and incidence of postoperative complications in the observation group was significantly lower than that in the control group (P < 0. 05). After 3 months of follow-up,the excellent rate of prognosis in the observation group was significantly higher than that in the control group (P < 0. 05). Conclusion Neuroendoscopy-assisted intraventricular hematoma drainage has higher clearance of hematoma,less complication and sequelae,and better treatment efficacy in the treatment of thalamic hemorrhage breaking into ventricles compared with conventional external ventricular drainage.

关 键 词：神经内镜 脑室内血肿引流术 脑室外引流 丘脑出血破入脑室 临床疗效 

分 类 号：R743.34[医药卫生—神经病学与精神病学]