摘要
目的探讨显微技术小骨窗开颅行丘脑血肿清除术+脑室外引流术与丘脑血肿穿刺引流术+脑室外引流术治疗脑室型丘脑出血的疗效。方法46例脑室型丘脑出血(大于20ml)患者随机分成A、B两组,A组22例,采用显微技术小骨窗开颅丘脑血肿清除术+脑室外引流术;B组24例,在CT定位下行丘脑血肿穿刺引流术+脑室外引流术。结果A组治疗在意识恢复时间、死亡率、GOS评分与B组比较差异有统计学意义(P<0.05)。结论丘脑血肿大于20ml的脑室型丘脑出血宜采用显微外科小骨窗开颅行丘脑血肿清除术+脑室外引流术。
Objective To compare the curative effects of microsurgical hematoma removal of thalamic hemorrhage and extraventricular drainage vs puncture and drainage of thalamic hemorrhage plus extraventricular drainage. Mothods Forty - six cases of thalamic hemorrhage （ 〉 20 ml） of ventricular type were randomly divided into group A （ n = 22） and group B （n = 24）. The patients in group A were subjected to microsurgical hematoma removal of thalamic hemorrhage plus extraventricular drainage, and those in group B received puncture and drainage of thalamic hemorrhage plus extraventricular drainage under the guidance of CT. Results There was significant difference in consciousness recovery time, mortality and GOS score between two groups （ P 〈 0.05 ）. Conclusion Microsurgical hematoma removal of thalamic hemorrhage and extraventricular drainage was used to treat thalamic hemorrhage of vemricular type.
出处
《临床外科杂志》
2008年第10期681-682,共2页
Journal of Clinical Surgery
关键词
丘脑出血
脑室型
治疗
thalamic hemorrhage
ventricular type
treatment
