潮式椎管引流术防治开颅去骨瓣术后脑膨出

Lumbar vertebrae drawing with cheyne-stokes inprophylaxes and treatment of encephalocele after decompressive craniectomy

目的研究早期应用潮式椎管引流术防治开颅去骨瓣术后脑膨出的治疗效果。方法将所有开颅去骨瓣术后病人随机分为防治组(335例)和对照组(176例),防治组除了常规治疗外还早期应用潮式椎管引流术,而对照组只行常规治疗,以术后一个月时骨窗脑膨出情况作出比较。结果防治组脑膨出17例(5%),对照组脑膨出52例(29.5%),防治组发病率明显降低,统计学上有显著性差异(p<0.01)。结论早期应用潮式椎管引流术可以有效地防治开颅去骨瓣术后脑膨出。

Objective To study the effects of early drawing of cercbrospinal fluid （CSF） with cheyne-stoke lumbar vertebrae drawing in prophylaxes and treatment of encephalocele after decompressive craniectomy. Methods The patients with decompressive craniectomy in the first,were divided randomly into treated group （335 cases）and control group （176 cases）. The two groups were given the same treatment drawn off large amount of CSF in lumbar vertebrae with cheyne-stokes in the early stage after decompressive craniectomy, but the control group not. The effects of the two groups were revealed by the condition of hernia a month after the operation.Results 17 patients,5% of 335 ,in the treated group had encephalocele; 52 patients,29.5% of 176, in the control group,had encephalocele. The incidence rate of the former group obviously lowered,and it statistically showed a significant difference ,p〈0.01. Condusions Early cheynestokes drawing of CSF by lumbar vertebrae drawing can drease the percent of encephalocele after decompressive craniectomy.