幕上型脑室铸型出血的神经内镜微创手术治疗效果研究  

Efficiency of neuroendoscopic minimally invasive surgery for supratentorial intraventricular casting hemorrhage

作　　者：王鸿生[1] 陆文龙 王友伟 朱云祥 WANG Hongsheng;LU Wenlong;WANG Youwei;ZHU Yunxiang(Department of Neurosurgery,Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu,225012;Department of Pharmacy,Kangda College of Nanjing Medical University,Lianyungang,Jiangsu,222000;Department of General Surgery,Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu,225012;Yangzhou University,Yangzhou,Jiangsu,225009)

机构地区：[1]扬州大学附属医院神经外科,江苏扬州225012 [2]南京医科大学康达学院药学部,江苏连云港222000 [3]扬州大学附属医院普外科,江苏扬州225012 [4]扬州大学,江苏扬州225009

出　　处：《实用临床医药杂志》2021年第1期100-103,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨神经内镜手术治疗脑室铸型的效果。方法回顾性分析2017年1月—2019年7月9例脑室铸型患者神经内镜手术治疗的效果和预后情况。结果本组患者脑室外引流管平均留置时间3.5 d,中枢性高热持续时间3.1 d。术后3个月,1例发生交通性脑积水,行脑室-腹腔分流术(VP分流术)治疗。9例患者术前平均格拉斯哥预后评分(GOS)为(6.3±1.6)分,低于术后2周时的(9.7±1.7)分。本组患者无死亡病例,术后3个月GOS评分显示恢复良好3例,轻度残疾4例,中度残疾2例。结论神经内镜手术治疗脑室铸型安全、有效,患者预后较好。Objective To investigate the effect of neuroendoscopic surgery in treating patients with intraventricular casting.Methods A retrospective analysis was performed on the effect and prognosis of 9 patients with intraventricular casting by neuroendoscopic surgery from January 2017 to July 2019.Results For patients in this study,the average indwelling time of external ventricular drainage tube was 3.5 days,and the duration of central high fever was 3.1 days.Three months after operation,1 case had communicating hydrocephalus and was treated with ventriculoperitoneal shunt(VP shunt).For the nine patients,the mean Glasgow Outcome Scale(GOS)was(6.3±1.6)points before operation,which was lower than(9.7±1.7)points at 2 weeks after operation.There was no death case in this study.Three months after operation,GOS score showed there were 3 cases of good recovery,4 cases of mild disability and 2 cases of moderate disability.Conclusion Neuroendoscopic surgery is safe and effective in the treatment of patients with intraventricular casting,and has better prognosis.

关 键 词：脑室铸型 神经内镜手术 尿激酶 格拉斯哥预后评分 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R651.1[医药卫生—临床医学]