立体定向三脑室置管联合早期腰大池外引流治疗重症脑室出血的临床效果  

Clinical effect of stereotactic catheterization of the third ventricle combined with early external lumbar cistern drainage in the treatment of severe ventricular hemorrhage

作　　者：谈正福 TAN Zheng-fu(Department of Neurosurgery,No.7 People′s Hospital of Zibo City,Shandong Province,Zibo255000,China)

机构地区：[1]山东省淄博市第七人民医院神经外科,山东淄博255000

出　　处：《中国当代医药》2021年第7期92-95,共4页China Modern Medicine

摘　　要：目的探讨立体定向三脑室置管联合早期腰大池引流治疗重症脑出血的临床效果。方法回顾性分析2015年8月~2019年8月淄博市第七人民医院收治的82例重症脑室出血手术患者的临床资料,按照治疗方式分为观察组(43例)和对照组(39例),观察组采用立体定向三脑室置管联合早期腰大池引流术,对照组采用常规双侧脑室穿刺引流术。比较两组脑室血肿清除时间、脑室引流管留置时间、脑室注药次数、再次出血发生率、颅内感染发生率及格拉斯哥预后(GOS)评分。结果观察组脑室血肿清除时间、脑室引流管留置时间均短于对照组,脑室内注药次数少于对照组,差异有统计学意义(P<0.05)。观察组再次出血发生率、颅内感染率均低于对照组,差异有统计学意义(P<0.05)。观察组的GOS得分优于对照组,差异有统计学意义(P<0.05)。结论立体定向三脑穿置管早期联合腰大池引流治疗重症脑室出血可提高治疗效果,减少术后并发症,改善预后。Objective To explore clinical effect of stereotactic tri-ventricular catheterization combined with early external lumbar cistern drainage in the treatment of severe ventricular hemorrhage.Methods The clinical data of 82 patients with severe ventricular hemorrhage admitted to No.7 People′s Hospital of Zibo City from August 2015 to August 2019 were retrospectively analyzed.According to the treatment methods,the patients were divided into the observation group(43 cases)and the control group(39 cases).The observation group was treated with stereotactic catheterization of the third ventricle combined with early lumbar cistern drainage,while the control group was treated with conventional bilateral ventricular puncture and drainage.The clearance time of ventricular hematoma,the indwelling time of ventricular drainage tube,the times of ventricular injection,the incidence of rebleeding,the incidence of intracranial infection and the Glasgow prognostic score(GOS)were compared between the two groups.Results The time of removal of ventricular hematoma and indwelling of ventricular drainage tube in the observation group were shorter than those in the control group,and the times of injecting drugs in the ventricle were less than those in the control group,the differences were statistically significant(P<0.05).The incidence of recurrent bleeding and intracranial infection in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).GOS score in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Early catheterization of the third ventricle combined with lumbar cistern drainage in the treatment of severe ventricular hemorrhage can improve the therapeutic effect,reduce postoperative complications and improve the prognosis.

关 键 词：脑室出血 立体定向 三脑室置管 腰大池引流 

分 类 号：R743.34[医药卫生—神经病学与精神病学]