脑出血微创血肿抽吸引流术后颅内积气的临床观察

Pneumocephalus Following the Minimally Invasive Hematoma Aspiration and Thrombolysis for Intracerebral Hemorrhage

目的:了解脑出血微创血肿抽吸引流术(微创术)后颅内积气的发生情况。方法:接受微创术治疗的脑出血患者134例,术后出现颅内积气的患者为A组(n=97),未出现颅内积气的病例为B组(n=37)。对2组的临床数据进行统计分析。结果:A组中双针穿刺比例、血肿抽吸量及引流量与B组比较差异有统计学意义(P<0.05)。Logistic回归分析表明,双针穿刺是影响术后颅内积气及其严重程度的独立危险因素。结论:脑出血微创血肿抽吸引流术后常出现颅内积气,但对患者预后无显著影响。双针穿刺可能增加术后颅内积气的风险。

Objective： To investigate the pneumocephalus following the minimally invasive hematoma aspiration and thrombolysis for intracerebral hemorrhage （ICH）. Methods： One hundred and thirty-four ICH patients were giventhe minimally invasive hematoma aspiration and thrombolysis. The cases with pneumocephalus （group A, n=97）and the patients without pneumocephalus （group B, n=37）have been documented and reviewed. Clinical data of two groups were analyzed. Results： There were significant difference in the proportion of double-needle aspiration, the amount ofhematoma aspiration and drainage of group A compared with those in group B. Logistic regression analysis indicates that double-needle puncture may be an independent risk factor for postoperative pneumocephalus. Conclusion： The pneumocephalus is common following the minimally invasive hematoma and thrombolysis for patients with ICH, which does not affect the outcome of the patients. Double-needle puncture may be the risk factor ofpneumocephalus.