不同手术方式治疗重型脑室出血并铸型的预后比较分析.docVIP

精品论文 参考文献 不同手术方式治疗重型脑室出血并铸型的预后比较分析 许志杰 　　（商丘市第四人民医院外四科 河南商丘 476100） 　　【摘要】目的:分析不同手术方式在治疗重型脑室出血并铸型的预后效果。方法:选取2013年3月～2014年10月期间我院收治的60例重型脑室出血并铸型患者，将所有患者随机分为两组，各30例。对照组采用钻孔引流手术治疗，观察组采用开颅手术治疗，分析比较两组治疗效果。结果:观察组预后评分显著高于对照组，P＜0.05差异显著；观察组ADL评分优于对照组，P＜0.05差异显著。结论:采用开颅手术治疗可以在短时间内清除患者脑室的血肿，降低病死率，有利于患者预后的恢复，对提高患者的生活质量具有重要意义。 　　【关键词】不同手术方式；重型脑室出血；并铸型；预后 　　【中图分类号】R615 【文献标识码】A 【文章编号】1007-8231（2016）08-0020-02 　　 Comparison and analysis of different surgical methods for treatment of severe ventricular hemorrhage and casting mould 　　 Xu Zhijie. Four Department of Shangqiu Fourth Peoples Hospital, Shangqiu, Henan 476100,China 　　【Abstract】Objective To analyze the effect of different surgical methods in the treatment of severe ventricular hemorrhage and casting mould. Methods 60 cases of severe cerebral ventricular hemorrhage were selected in our hospital from March 2013 to October. All the patients were randomly divided into two groups, each of 30 cases. The control group was treated by drilling and drainage operation, the observation group was treated by craniotomy, and the treatment effect was compared between the two groups. Results The observation group was significantly higher than the control group, P lt; 0.05 difference was significant; the ADL score of the observation group was better than that of the control group, and the difference was significant between P lt; 0.05. Conclusion It is very important to reduce the mortality and improve the prognosis of patients with the treatment of intracranial hematoma by craniotomy. It is beneficial to improve the quality of life of patients. 　　【Key words】Different operation methods; Severe ventricular hemorrhage; Cast; prognosis 　　脑室出血是神经外科常见疾病，临床上分为原发性和继发性两种，原发性脑室出血发病率较低，患者多为非外伤因素造成颅内血管破裂，血液因此进入脑室系统引起的病症，称为继发性脑室出血[1-2]。重型脑室出血并铸型是脑室出血中最为严重的一种，病死率极高[3]。本研究分析不同手术方式在治疗重型脑室出血并铸型中的预后效果。报告如下。 　　1.资料与方法 　　1.1 一般资料 　　选取2013年3月～2014年10月期间我院收治的60例重型脑室出血并铸型患者，将所有患者随机分为两组。观察组30例，男16例，女14例，年龄42～70岁，平