神经内镜手术联合脑室外引流术治疗脑室出血的疗效及再出血率观察
摘要
目的探讨神经内镜手术联合脑室外引流术治疗脑室出血的临床疗效。方法选择2015年1月至2018年2月宿州市第一人民医院收治的脑室出血患者72例,按照随机数字表法分为观察组与对照组,各36例。观察组予以神经内镜下脑室外引流术治疗,对照组行单纯脑室外引流术治疗,比较两组疗效。结果观察组血肿清除时间[(5.72±1.48)d]、脑脊液恢复时间[(11.47±2.68)d]、术后1d血肿残余量[(5.22±0.59)d]、引流管留置时间[(3.12±0.77)d]、住院时间[(15.27±1.05)d]少于对照组,术后ADL评分[(23.67±3.14)分]高于对照组(P<0.05)。治疗后,观察组患者CCS评分[(8.76±2.21)分]均明显降低,GCS评分[(15.12±1.56)分]、生活质量评分[(61.56±5.47)分]均明显升高,与对照组比较差异具有统计学意义(P<0.05)。观察组术后再出血率(2.78%)、脑积水率(2.78%)低于对照组,两组比较差异具有统计学意义(P<0.05)。结论神经内镜手术联合脑室外引流术治疗可有效清除脑室出血患者的血肿,疗效好,并发症少,安全性高,值得推荐。
引文
[1]王雄,张玉定,付强,等.神经内镜手术联合脑室外引流术治疗脑室出血的疗效[J].中国临床神经外科杂志,2018,23(4):264-266.
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[7]徐萌,万锦华,李建斌,等.神经内镜下血肿清除术与脑室外引流术治疗脑室出血的效果比较[J].中国当代医药,2015,22(34):67-69.
[8]NEPOMNYASHCHIKH I M.Immunocytochemical analysis of proliferative activity of endometrial and myometrial cell populations in focal and stromal adenomyosis[J].Bull Exp Biol Med,2013,155(4):341-342.
[9]刘军,张传东,仇洪,等.脑室镜联合脑室外引流术治疗原发性脑室出血的疗效分析[J].吉林医学,2014,35(36):8009-8011.
[2]杜昌旺,王茂德,宋锦宁,等.神经内镜手术与钻孔引流治疗高血压脑室出血66例效果比较[J].中国医药导报,2013,10(22):54-56.
[3]符传艺,黄军,刘小丘,等.神经内镜与开颅手术治疗高血压脑室出血并脑积水的疗效比较[J].中国微侵袭神经外科杂志,2016,21(4):165-166.
[4]YANG Y,ZHANG X.Elevated immunoreactivity of rantes and ccr1correlate with the severity of stages and dysmenorrhea in women with deep infiltrating endometriosis[J].Acta Histoch,2013,115(5):247-248.
[5]GOVATATI S,KODATI V L.Deenadayal,mutations in the pten tumor gene and risk of endometriosis:a case-control study[J].Human Rep Sci,2014,29(2):378-379.
[6]CHANG J,HAU H,LEE K.Expression of the pluripotenttranscription factor OCT4promotes cell migrationin endometriosis[J].Fert Ster,2013,99(5):656-657.
[7]徐萌,万锦华,李建斌,等.神经内镜下血肿清除术与脑室外引流术治疗脑室出血的效果比较[J].中国当代医药,2015,22(34):67-69.
[8]NEPOMNYASHCHIKH I M.Immunocytochemical analysis of proliferative activity of endometrial and myometrial cell populations in focal and stromal adenomyosis[J].Bull Exp Biol Med,2013,155(4):341-342.
[9]刘军,张传东,仇洪,等.脑室镜联合脑室外引流术治疗原发性脑室出血的疗效分析[J].吉林医学,2014,35(36):8009-8011.