摘要
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.
出处
《神经损伤与功能重建》
2013年第3期188-191,共4页
Neural Injury and Functional Reconstruction
基金
卫生部部属医院临床重点项目
湖北省卫生厅科研重点项目(No.JX4A03)
关键词
脑出血
颅内积气
抽吸
引流
手术治疗
并发症
intracerebral hemorrhage
pneumocephalus
aspiration
drainage
surgery
, complication