介入栓塞结合血性脑脊液引流治疗动脉瘤性蛛网膜下腔出血的疗效评价.docxVIP

介入栓塞结合血性脑脊液引流治疗动脉瘤性蛛网膜下腔出血的疗效评价 吴庭书*(通讯作者)吴卫华 谢从武 (楚雄州人民医院神经内二科 云南楚雄675000) 【屮图分类号1R543.1+6【文献标识码】A【文章编号】1672-5085(2013)11-0126-02 【摘要】目的 评价动脉瘤介入栓塞结合术后腰穿血性脑脊液引流治疗蛛网膜 下腔出血的效果。方法 选取33例动脉瘤性蛛网膜下腔出血患者行介入栓塞结合 术后腰穿血性脑脊液引流治疗(观察组)，并与前期30例常规内科保守治疗的患 者(对照组)进行比较。结果察组临床疗效及预后效果优于对照组，比较有统计学 差异(plt;0.05)。结论动脉瘤栓塞结合术后血性脑脊液引流治疗蛛网膜下腔出 血疗效确切，值得临床推广。 【关键词】介入栓塞 血性脑脊液于引流 动脉瘤性蛛网膜下腔出血 Effect of interventional embolization combined BCSF drainage on treating Aneurysmal subarachnoid hemorrhage (Wu Ting ndash;shu, Wu Wei-Hua.Xie Chong-wu Department of neurology, Chuxiong Peoples Hospital, Chuxiong, 675000) [Abstract] Objective To explore the clinical efficacy of interventional embolization combined BCSF drainage on treating Aneurysmal subarachnoid hemorrhage (SAH). Methods 33 patients with aSAH were treated by interventional embolization combined Bloody Cerebrospinal fluid(BCSF)drainage (observation group), and compared with 30 cases accepted routine therapy (control group) in the disappears nee time of headache, stiff n eck and hospital stay Results he disappearance time of headache and stiff neck of observation group were significantly lower than that of control group (P lt;0. 001);The complication rate of observation group was sigrdficantly lower than that in control group (Plt;0.05). Conclusions interventional embolization combined BCSF drainage is a simple safe and effective treatment for SAH with shorter the treatment time and fewer incidenee of complicati ons 【Key words] interventional embolization BCSF drainage Aneurysm subarachnoid hemorrhage 动脉瘤性蛛网膜下腔岀血(Aneurysm subarachnoid hemorrhage, SAH)是 神经内科常见的急、重症，内科保守治疗主要为对症支持等，需时较长，H易发 生再出血、血管痉挛和梗阻性脑积水等并发症，其致残率和病死率均很高。弹簧 圈介入栓塞因其具有微创和疗效确切的特点而逐渐成为临床治疗颅内动脉瘤的 主要方法。我院2010年7月至2012年12月采用电解可脱弹簧圈(GDC)血管内介 入栓塞法治疗33例动脉瘤性蛛网膜下腔出血患者，并结合术后腰穿血性脑脊液 引流，取得了满意的治疗效果,现报告如下。 1、资料与方法 1.1临床资料 我科2010年7月一2012年12月SAH患者，均经颅脑CT、CTA或DSA 检查确诊，并符合《动脉瘤性蛛网膜下腔出血处理指南》中关于SAH的诊断标 准⑴。入选条件:?Hunt-Hess分级le;M ②不伴有心、肝、肾等重要器官功能 障碍。观察组(介入栓塞+血性脑脊液引流治疗组)为2011年7月后具备介入治疗 条件后行介入栓塞结合术后血性脑脊液引流的