摘要
目的探讨侧脑室联合腰大池外引流治疗脑室出血的应用价值。方法收集2012年11月至2016年12月脑室出血患者92例,采用侧脑室联合腰大池外引流术治疗,统计患者术前格拉斯哥昏迷评分(GCS)、术后1月GCS评分和术后6月随访的格拉斯哥预后评分(GOS),以及各种并发症发生率。结果 92例患者均手术成功,术后出现颅内感染15例(16.30%),肺部感染20例(21.74%),梗阻性脑积水3例(3.26%),脑疝2例(2.17%),腰大池引流管堵塞13例(14.13%),脱落1例(1.09%);92例患者入院时GCS评分平均(8.02±2.00)分,术后1月GCS平均评分(12.99±2.82),后者显著高于前者(P≤0.05)。术后6个月随访,其中,GOS5分21例,4分52例,3分18例,2分0例,1分4例,总体有效率为79.35%。结论侧脑室联合腰大池外引流治疗脑室出血临床疗效好,适合临床使用。
Objective To discuss the effect of the treatment of intraventricular hemorrhage by external ventricular drainage combined with lumbar cistern drainage. Methods Admitted into 92 intraventricular hemorrhage patients of the People＇s Hospital of Lujiang County from Nov 2012 to Dec 2016,who were treated with external ventricular drainage combined with lumbar cistern drainage,and then analyzed the preoperative glasgow coma scale（ GCS）,GCS in 1 month after surgery,glasgow outcome scale（ GOS） in six-monthat,and the incidence of complications. Results All of the 92 patients were operated successfully,in the postoperative periodthere,15 cases（ 16. 30%） suffered from intracranial infection,20（ 21. 74%） pulmonary infection,3（ 3. 26%） obstructive hydrocephalus,2（ 2. 17%） hernia,13（ 14.13%） lumbar cistern drainage tube blockage,and 1（ 1. 09%） drainage tube defluxion; the preoperative GCS was（ 8. 02 ± 2. 00）,while（ 12. 99 ± 2. 82） in 1 month after surgery,the latter was significantly higher than the former（ P 0. 05）. In six month follow-up,there were 21 cases of 5 points,52 cases of 4points,18 cases of 3 points,0 of 2 points,and 4 cases of 1 point,the effective rate was 79. 35%. Conclusion The treatment of intraventricular hemorrhage by external ventricular drainage combined with lumbar cistern drainage could improve the prognosis,which was worth clincal application.
出处
《立体定向和功能性神经外科杂志》
2017年第2期93-96,共4页
Chinese Journal of Stereotactic and Functional Neurosurgery
关键词
侧脑室外引流
腰大池引流术
脑室出血
预后
Lateval Cerebval drainage
Lumbar cistern drainage
Ventvicular hemorrhage
Prognosis
