摘要
目的:比较对脑外伤术后纵裂池增宽患者行腰池与脑室引流的治疗效果。方法:将45例脑外伤术后重度纵裂池增宽患者随机分3组:对照组15例,不做任何引流治疗;腰池引流组14例,接受腰池引流;脑室引流组16例,接受单侧脑室引流。持续引流1周。每日CT平扫测量纵裂池的宽度。结果:腰池组引流治疗前后纵裂池宽度分别是(1.71±0.21)cm、(0.28±0.09)cm;脑室组引流治疗前后纵裂池宽度分别是(1.67±0.23)cm、(0.32±0.11)cm;对照组1周前后纵裂池宽度分别是(1.63±0.19)cm、(1.48±0.18)cm;腰池引流组、脑室引流组治疗前后同组数据比较,差异有统计学意义(P<0.05);腰池引流组、脑室引流组治疗后数据与对照组间数据比较,差异有统计学意义(P<0.05),腰池引流组与脑室引流组治疗后数据比较,差异无统计学意义(P>0.05);对照组1周前后数据比较,差异无统计学意义(P>0.05);脑室治疗组颅内感染1例,腰池引流组无感染病例。结论:持续腰池或脑室引流治疗脑外伤术后纵裂池增宽均安全有效,但是腰池引流的安全性高于脑室引流。
Objective： To study the widened longitudinal pool after the treatment on the brain injury patients by lumbar or ventricular drainage. Methods： 45 cases of brain injury patients after treatments with severe widened longitudinal pool were randomly divided into three groups. 15 cases without any drainage treatment were divided into the control group. 14 cases received lumbar drainage were divided into lumbar drainage group. 16 cases received a single lateral drainage were divided into ventricular drainage group and daily measured of the width of the longitudinal pool with continuous drainage one week. Results： In the lumbar drainage group, the widths of the longitudinal pool before and after treatment were （1.71 ± 0.21） cm and （0.28 ± 0.09） cm, respectively. In the ventricular drainage group, the widths before and after the treatment were （1.67 ± 0.23） cm and （0.32 ± 0.11） cm, respectively. In the control group, the longitudinal pool widths were （1.63 ± 0.19） cm and （1.48 ± 0.18） cm before and after one week. The differences in the two treatment groups before and after the treatments were statistically significant （P 〈0.05）, as well as the differences between the two treatment groups after treatments and the control group. But the differences between the two treatment groups after treatments and the control group before and after one week showed no statistically significant difference （P〉 0.05）. In the ventricular drainage group there were 1 patient with ventricular intracranial infection and none infection in the control group. ConclusionS： The lumbar and ventricular drainage treatment on brain injury patients with longitudinal pool widened was safe and effective, but lumbar drainage was better.
出处
《现代医学》
2014年第1期73-75,共3页
Modern Medical Journal
关键词
纵裂池增宽
脑外伤术后
引流
longitudinal pool widened
brain trauma surgery
drainage
