| 摘要: |
| 目的探讨丘脑血肿穿刺引流联合脑室外引流术治疗中等量丘脑出血破入脑室的疗效。方法选择50例中等量丘脑出血破入脑室患者为研究对象，其中采用丘脑血肿穿刺引流联合脑室外引流术治疗21例（观察组），仅采用脑室外引流术治疗29例（对照组）；对两组患者疗效进行比较分析。结果观察组脑室外引流时间、中线移位复位时间均较对照组明显缩短（均P＜0.01）；两组患者并发症发生率、病死率比较，差异均无统计学意义（均P＞0.05）；观察组术后6个月预后良好率明显高于对照组（P＜0.05）。结论丘脑血肿穿刺联合侧脑室外引流术治疗中等量丘脑出血破入脑室，可减少脑室外引流时间和中线复位时间，有利于改善预后，疗效明显。 |
| 关键词: 丘脑血肿穿刺引流 脑室外引流 中等量丘脑出血破入脑室 |
| DOI：10.12056/j.issn.1006-2785.2017.39.01.2016-848 |
| 分类号: |
| 基金项目: |
|
| Puncture and drainage of thalamic hemorrhage plus extraventricular drainage in treatment of medium thalamic hemorrhage breaking into ventricle |
|
TIAN Zhengfeng, LU Ming
|
|
Xiaoshan Third People's Hospital
|
| Abstract: |
| Objective To evaluate the efficacy of puncture and drainage of thalamic hemorrhage plus extraventricular
drainage (EVD) in treatment of medium thalamic hemorrhage breaking into the ventricle. Methods Fifty patients with medium thalamic hemorrhage breaking into the ventricle were enrolled in the study, including 21 cases receiving puncture and drainage of thalamic hemorrhage plus EVD (study group) and 29 cases receiving EVD alone. The efficacy was compared between two groups. Results The drainage time of EVD and the reset time of midline shift in study group were less than those in the control group significantly(P＜0.01). There were no significant differences in complication rate and mortality rate
between two groups (P ＞0.05). Six months after operation, the rate of good prognosis in study group was higher than that in control group (P＜0.05). Conclusion For patients with medium thalamic hemorrhage breaking into the ventricle, puncture and drainage of thalamic hemorrhage plus EVD can decrease the drainage time of EVD and the reset time of midline shift, resulting in a better prognosis. |
| Key words: Puncture and drainage of thalamic hemorrhage Extraventricular drainage Medium thalamic hemorrhage breaking into the ventricle |
