不同微创术式联合治疗丘脑出血破入脑室

Combined minimally invasive operations treated in patients with thalamic hemorrhage disrupting into intraventricular system

目的探讨联合应用不同微创术式治疗丘脑出血破入脑室患者的价值。方法回顾性分析69例应用不同微创术式联合治疗的丘脑出血破入脑室病人的临床资料。根据病人病情分级、出血部位深浅(内侧或外侧型)、出血量等,采用微创穿刺碎吸引流术、小骨窗手术及侧脑室穿刺引流术联合治疗。结果术后3个月疗效总体优良率76.8%,总死亡率10.7%。结论联合应用不同微创术式治疗丘脑出血破入脑室,对于提高治疗效果,降低病死率具有重要意义。

Objective To disscuss the evaluation of using different combined minimally invasive operations treated in patients with thalamic hemorrhage disrupting into intraventricular system. Methods The clinical datas of 69 cases of thalamic hemorrhage disrupting into intraventricular system treated with different combined minimally invasive operations were analyzed retrospectively. The choosing of those operation methods, such as, draining and dissolving the hematomas, keyhole approach, lateral ventricular puncture drainage were depended on the grades of diseases state, hemorrhage localization（median or lateral side）, hemorrhage volume. Results 3 months after operations, the total effective rate was 76.8%, the total mortality was 10.7%. Conclusion The using of different combined minimally invasive operations has an important signincance in diminishing the mortality rate and improving the survival quality.