健、患侧脑室外引流术治疗高血压脑出血破入脑室与术后早期再出血对比研究.docVIP

健、患侧脑室外引流术治疗高血压脑出血破入脑室与术后早期再出血对比研究 　　摘要：目的 对比健侧与患侧脑室外引流术治疗高血压脑出血破入脑室与术后早期再出血的发生率。方法 回顾于2014年1月～2016年4月西南医科大学神经外科经单侧侧脑室外引流手术治疗的高血压脑出血破入脑室患者88例，根据患者穿刺部位将患者分为健侧组40例与患侧组48例，所有患者均于术前及术后24 h行头颅CT检查，通过2次CT对比，比较两组术后再出血的发生情况。结果 健侧组再出血5例，再出血率14.29%，患侧组再出血0例，再出血率0，健侧组术后再出血率高于患侧组（P0.05）。结论 健侧侧脑室外引流治疗高血压脑出血破入脑室术后再出血发生率较患侧高。 　　关键词：脑室出血；健侧脑室；患侧脑室；脑室外引流；再出血 　　A Comparative Study on the Treatment of Hypertensive Cerebral Hemorrhage in Patients with Hypertensive Cerebral Hemorrhage in the Early Postoperative Rebleeding 　　YANG Pan，YANG Fu-bing 　　（Department of Neurosurgery，Affiliated Hospital of Southwest Medical University，Luzhou 646000，Sichuan，China） 　　Abstract：Objective To compare the incidence of hypertensive intracerebral hemorrhage in the ventricle and early postoperative rebleeding by contralateral and lateral ventricle drainage.Methods From January 2014 to April 2016，88 patients with hypertensive intracerebral hemorrhage treated by unilateral lateral ventricle drainage were enrolled in the department of Neurosurgery of Southwest Medical University，and the patients were divided into the contralateral group 40 according to the puncture site cases and 48 cases of ipsilateral group，all patients were preoperative and postoperative 24 h after head CT examination， through two CT contrast，compared the two groups after the occurrence of rebleeding.Results The contralateral group 5 cases of rebleeding，rebleeding rate 14.29%，ipsilateral group 0 cases of hemorrhage，bleeding rate was 0，the contralateral group postoperative rebleeding rate is higher than the ipsilateral group（P0.05）.Conclusion The contralateral ventricle drainage hemorrhage and rebleeding rate than the ipsilateral high breaking into ventricle after the treatment of hypertensive cerebral. 　　Key words：Ventricle hemorrhage；Contralateral ventricle；Ipsilateral ventricle；Extraventricular drainage；Rebleeding 　　高血?耗猿鲅?（hypertensive cerebral hemorrhage，HICH）破入脑室是神经外科常见疾病，脑室外引流术是治疗HICH破入脑室常用方法。术后再出血是导致患者术后早期患者病情加重的常见原因。有相关文献报