改良式腰椎蛛网膜下腔持续引流术治疗蛛网膜下腔出血疗效分析.pdfVIP

No.3 • 19 • 改良式腰椎蛛网膜下腔持续引流术治疗蛛网膜 下腔出血疗效分析 杨保华社贻庆周晓坤正义波 [摘要} 目的 探索治疗蛛网膜下腔出血新的改良技术和方法。方法 选择蛛网膜下腔出血患者 60 例，治疗组和对 照组各 30 例，泊疗组行改良式腰椎蛛网膜下腔持续引流水井鞠内注药治疗，对照组行传统间断腰椎穿刺术并鞠内注药治 疗，评价其疗效。结果 治疗组颅内照控制平稳，脑膜剌激减轻，减少了并发症和后遗症，效果较好，治疗组明显优于对照组 (P0.05)。结论 采用改良式腰椎蛛网膜下腔持续引流术治疗蛛网膜下腔出血具有明显优势，且疗效且是著，是一种较为理想 的新技术方法。 [关键诩}蛛网膜下胶tiI血改良武将续蛛网膜下腔引流鞠内给药 Subarachnoid hemorrhage treated by con伽uous drainage 冽lIgery on meliorative lower eavity of lumbar arachnoid Yang 8ω， hua， Du Y句in品品ou Xianku矶 et al. Department 01 Neurosurgery, 1h.e Affiliated Hospital 01 Guilin Medi.c al College, Guilin 541ω1 (Abstract) Objective To study new improved techniques and methods in treatíng Subarachnoid hemorrhage. Methods ωc邸es of patíents with Subarachnoíd hemorrhage were randouùy divided into two groups.The treated 锣Oup of 30 patíents were applied with continuous drain且在e surgery on meliorative lower cavity of lumbar arachloid and lntrathecal administration treat- ment;while the contrast group of 30 patients were applied with traditional lumbar centesis combined wÍth inner theca transfusion treatment. Curative effect was then assessed. Results ηle pressure inside the skull was steadily controlled,meninges stimulation abinitates,reducing subsequent symptom and sequelae.The curative e仔ect of the treated group wωobviously better than that of the contrast group (P0.05). Conclusion 叽lere is remarkable advanta伊 ωadopt continuous draínage 自urgery on meliorative lower cavity of lumbar arachloid in treatment of Subarachnoid hemorrhage.and this eff，机tive method is an ideal new technique. [Key words) Sub也rachnoid hemoπhage MelioTative Contínuous lower cavity of lumbar arachloid drainage Intrathecal administration 蛛闷膜下腔出1úl是神经科常见的疾病成并发 下脏持续引流术井鞠内注入治疗;另 3