摘要
目的 探讨脑室内出血微创治疗的疗效。方法 采用微创钻颅脑室内血肿纤溶引流联合脑脊液置换术对70例原发性脑室出血和脑出血破入脑室病人的治疗。通过临床神经功能缺损程度评分和病死率的比较,作出疗效评价。结果 治疗后4周,治疗组较非手术组神经功能缺损程度评分显著减少,总有效率高于非手术组。病死率低于非手术组。两者差异有显著性意义P<0.01。结论 微创钻颅脑室内血肿纤溶引流联合脑脊液置换术能有效降低脑室内出血病人的致残程度和病死率。为治疗脑室内出血的较好方法之一。
Objective To explore the efficacy of microlesion drainage in treating the brain ventricle hemorrhage (HBV). Methods 70 cases of idiopathic and secondary HBV were treated through brain ventricles drainage (BVD) combined with cerebrospinal fluid replacement (CFR), the curative effects were compared through comparison of clinical neurological function disorder (CNFD) and mortality rate (MR). Results After 4 weeks, the comparisons in effects between the 2 groups showed that the marks of CNFD were decreased, the total cure rate increased and the MR reduced with significant differences between them(P<0.01). Conclusion BVD combined with CFR is able to reduce MR and disability and would be a good choice to treat HBV.
出处
《中华神经医学杂志》
CAS
CSCD
2003年第4期287-288,共2页
Chinese Journal of Neuromedicine
关键词
脑室出血
脑室引流
脑脊液置换术
治疗
疗效
brain ventxical haemorrhage
microlesion craniotomy
brain-ventricles drainage
cerebrospinal fluid replacement
