超声在新生儿重症脑积水侧脑室置管引流术中的临床价值

Clinical value of ultrasound in lateral ventricle catheter drainage of neonatal severe PHH

目的总结超声在新生儿重症脑室出血后脑积水(PHH)侧脑室置管引流术中的临床运用价值。方法将本院新生儿重症监护室30例重症PHH患儿随机分配为超声引导组及盲穿组,并对比研究两组的治疗过程及疗效。结果超声引导组的一次穿刺成功率及术后病情好转率明显高于盲穿组,而穿刺总次数、穿刺失败率、穿刺平均耗时、术后并发症发生率明显低于盲穿组,两组间比较差异均有统计学意义(均P﹤0.05)。结论超声能实时动态地监测经前囟侧脑室穿刺置管引流全过程,较临床盲穿快速、安全及有效,并发症少且病情好转率高,值得推广。

Objective To comparatively evaluate the clinical value of uhrasound in lateral ventricle catheter drainage of urgent posthemorrhagic hydrocephalus （PHH） after severe ventricular hemorrhage in newborns. Methods Thirty cases of severe PHH were randomly divided into two groups：ultrasound-guided group and blind puncture group. The treatment procedure and curative effect were compared bwtween the two groups. Results The one-time success rate and postoperative improvement rate in the ultrasound-guided group were higher than those of the blind puncture group, and the puncture times, puncture failure rate, duration of puncture, incidence rate of postoperative complications were lower than those of the other group. All these paired data had significant difference （P 〈 0.05）. Conclusion Ultrasound can real-timely observe the whole process of drainage tube passing into the lateral ventricle through the bregma in newborns,which is faster,safer,more effective with less complication than the method of blind puncture, it is proved to be worthy of promotion.