微创血肿清除术联合腰大池置管引流治疗高血压脑出血破入脑室的临床观察  

Efficacy of lumbar cistern drainage and minimally invasive hematoma evacuation in hyperten‐sive cerebral hemorrhage with intraventricular hemorrhage

作　　者：李越[1] 李辉[1] 欧海荣[1] 覃木秀[1] 杨亚敏[2] LI Yue;LI Hui;OU Hai-rong;QIN Mu-xiu;YANG Ya-ming(Department of Neurosurgery,Wuchuan People's Hospital,Zhanjiang 524500,China;Department of Neurosurgery,Longgang District People's Hospital,Shenzhen 518100,China)

机构地区：[1]吴川市人民医院神经外科,广东吴川524500 [2]深圳市龙岗区人民医院神经外科,广东深圳518100

出　　处：《广东医科大学学报》2021年第4期421-423,共3页Journal of Guangdong Medical University

摘　　要：目的观察微创血肿清除术联合腰大池置管引流治疗高血压脑出血破入脑室的临床疗效。方法80例高血压脑出血破入脑室患者随机接受微创血肿清除术(对照组)或微创血肿清除联合腰大池持续置管引流(观察组),比较两组血肿清除效果、住院时间及术后并发症。结果观察组术后1周内血肿清除率明显高于对照组,而住院时间及术后颅内感染、脑脊液漏、脑积水发生率低于对照组(P<0.01或0.05)。结论微创血肿清除联合腰大池持续置管引流治疗高血压脑出血破入脑室可提高血肿清除效果,缩短住院时间,减少术后并发症。Objective To observe the clinical efficacy of minimally invasive hematoma evacuation(MIHE)and lumbar cistern drainage(LCD)in hypertensive cerebral hemorrhage(HCH)with intraventricular hemorrhage.Methods Eighty HCH patients with intraventricular hemorrhage were randomly treated with MIHE(control group)or MIHE and continuous LCD(observation group).Hematoma clearance,hospital stay and postoperative complications were compared between two groups.Results Compared with control group,1-week hematoma clearance rate was higher,while hospital stay and postoperative intracranial infection,cerebrospinal fluid leakage,and hydrocephaly were lower in observation group(P<0.01 or 0.05).Conclusion Combined use of MIHE and continuous LCD can improve hematoma removal,shorten hospital stay,and reduce postoperative complications.

关 键 词：高血压 脑出血 微创血肿清除术 腰大池置管引流 

分 类 号：R651.1[医药卫生—外科学]