Ommaya囊植入对脑出血后脑积水发生的防治效果

Control Effect of Ommaya Sac Implantation on Hydrocephalus After Cerebral Hemorrhage

目的观察Ommaya囊植入对脑出血后脑积水发生的防治效果。方法将2015年8月—2017年6月我院收治的80例脑出血破入脑室患者按数字表法随机分为对照组和观察组,每组40例。对照组患者接受侧脑室外引流,观察组患者接受Ommaya储液囊植入联合侧脑室外引流;随访6个月,观察比较两组患者脑积水发生情况及预后情况。结果两组引流管留置时间(16.9±10.2)d vs(15.8±10.6)d比较差异无统计学意义(P>0.05);观察组较对照组颅内感染发生率明显降低(2.50%vs 15.00%),差异有统计学意义(P<0.05)。观察组患者脑积水发生率10.00%,对照组患者脑积水发生率27.5%,两者差异显著,有统计学意义(P<0.05)。观察组预后良好率57.50%,对照组预后良好率30.00%,两者差异显著,有统计学意义(P<0.05)。结论 Ommaya储液囊植入,可降低脑出血后脑积水发生率,进而改善预后,具有临床推广价值。

Objective To observe the control effect of Ommaya sac implantation on hydrocephalus after cerebral hemorrhage. Methods A total of 80 patients with cerebral hemorrhage breaking into ventricle who were admitted to our hos- pital from August 2015 to June 2017 were randomly divided into control group and observation group by random number table method, 40 cases in each group. The control group was treated with lateral external ventricular drainage while the observation group was treated with Ommaya sac implantation combined with lateral external ventricular drainage. All patients were fol- lowed up for 6 months. The incidence of hydrocephalus and prognosis were observed and compared between the two groups. Results The Indwelling time of drainage tube in the two has no significant difference （P 〉 0.05 ）. The intracranial infection in the observation group was 2. 50% while in the control group was 15.00% （P 〈 0.05 ）. The incidence of hydrocephalus in the observation group was 10. 00% while in the control group was 27.5% （P 〈0. 05）. The good and excellent rate of prog- nosis in the observation group was 57.50% while in the control group was 30. 00% （P 〈 0. 05）. Conclusion Ommaya sac implantation can reduce the incidence of hydrocephalus after cerebral hemorrhage, and thus improve the prognosis.