脑室镜加脑室外引流治疗脑室出血的研究

Ventricular Endoscopy Combined with Extraventricular Drainage for the Treatment of Intraventricular Hemorrhage

目的:比较两种不同的手术方式治疗脑室出血的临床疗效,为临床治疗提供依据。方法:选取本院自发性脑室出血患者60例,随机分为治疗组(采用脑室镜加脑室外引流)和对照组(单纯采用脑室外引流),两组间一般临床资料无统计学差异。比较两组间手术时间、住院天数、术后神经恢复情况、术后颅内感染、术后再出血,术后继发脑积水发生率方面的差异。结果:治疗组手术时间长,但总住院时间短,术后激发脑积水,颅内感染,再出血几率低,术后神经功能恢复较对照组好。结论:应用脑室镜联合脑室外引流治疗脑室出血是一种安全、有效的治疗方式。

Objective:To compare the clinical effects of two different surgical methods in the treatment of intraventricular hemorrhage and to provide a basis for clinical treatment.Methods:Sixty patients with spontaneous ventricular hemorrhage in our hospital were randomly divided into a treatment group(using ventriculoscopy and extraventricular drainage)and a control group(single ventricular drainage).There was no statistical difference in general clinical data between the two groups.The differences in operation time,hospitalization days,postoperative neurological recovery,postoperative intracranial infection,postoperative rebleeding,and postoperative hydrocephalus were compared between the two groups.Results:The treatment group had a long operation time,but the total hospital stay was short.After the operation,hydrocephalus was stimulated,intracranial infection,and the probability of rebleeding was low.Postoperative neurological function recovery was better than the control group.Conclusion:The use of ventricular endoscopy combined with extraventricular drainage to treat intraventricular hemorrhage is a safe and effective treatment.