Ommaya储液囊结合侧脑室外引流治疗脑室内出血临床研究.docVIP

Ommaya储液囊结合侧脑室外引流治疗脑室内出血临床研究 　　【摘要】 目的：探讨Ommaya储液囊结合侧脑室外引流治疗脑室内出血的临床疗效。方法：选择笔者所在医院收治的80例脑室内出血患者，根据引流方式分为传统组和改良组，对两组患者血肿清除时间、颅内感染、脑血管痉挛、术后3个月脑积水、术后Rankin评分进行对照研究。结果：改良组患者中，术后Rankin评分良好（0～2级）25例，死亡4例，颅内感染2例，脑血管痉挛1例，术后3个月脑积水3例。传统组患者中，术后Rankin评分良好（0～2级）18例，死亡11例，颅内感染9例，脑血管痉挛10例，术后3个月脑积水11例。两组各指标比较，差异均有统计学意义（P0.05）。结论：脑室外引流结合Ommaya储液囊植入引流术，能有效降低颅内感染发生率、脑血管痉挛发生率及脑积水发生率，提高了治疗效果，明显改善患者术后预后，降低死亡率。 　　【关键词】 脑室内出血； 脑室外引流； Ommaya储液囊； 颅内感染； 脑血管痉挛； 脑积水 　　中图分类号 R743.34 文献标识码 A 文章编号 1674-6805（2015）13-0004-03 　　Clinical Study of Ommaya Reservoir Combined with External Ventricular Drainage to Drainage Intraventricular Hemorrhage/ZHONG Wei，HUANG Bin，YANG Lei.//Chinese and Foreign Medical Research，2015，13（13）：4-6 　　【Abstract】 Objective：To investigate the clinical efficacy of intraventricular hemorrhage by Ommaya reservoir combined with ventricular drainage.Method：80 intraventricular hemorrhage patients were chosen.According to drainage way，all patients were divided into the traditional group and the improved group.Hematoma removal time，intracranial infection，cerebral vasospasm， hydrocephalus after three months，postoperative Rankin scores of two groups were compared.Result：In the improved group，25 cases of postoperative Rankin score（0-2 grade），4 cases of death，intracranial infection in 2 cases，1 case of cerebral vasospasm after 3 months，3 cases of hydrocephalus.In the traditional group，18 cases of postoperative Rankin score（0-2 grade），11 cases of death，9 cases of intracranial infection，10 cases of cerebral vasospasm after 3 months，11 cases of hydrocephalus.The differences between two groups had statistically significant（P0.05）.Conclusion：The method of Ommaya reservoir combined with ventricular drainage，can effectively reduce the incidence of intracranial infection，the incidence of cerebral vasospasm and hydrocephalus incidence，and improve patient outcomes，significantly improve postoperative outcomes，reduce mortality. 　　【Key words】 Intraventricular hemorrhage； Ventricular drainage；