摘要
目的比较2种立体定向置管引流术治疗破入脑室的丘脑出血的优缺点。方法将破入脑室的丘脑出血患者分为2组,单管组45例采用经血肿中心到第三脑室单管置管引流;双管组45例分别以血肿中心和侧脑室为靶点,双管置管引流。比较2组手术时间、术中出血量、拔管时间、术后3个月ADL评分。结果 2组手术均顺利完成。双管组手术时间((90±23)min)显著长于单管组((60±15)min)(P<0.01),术中出血量((11±2)mL)显著多于单管组((5±3)mL)(P<0.01),拔管时间((3.0±1.5)d)显著短于单管组((7.5±1.5)d)(P<0.01);术后3个月ADL评分2组无显著性差异。结论治疗破入脑室的丘脑出血,与双管置管引流手术相比,单管双靶点置管引流手术虽带管时间长,但近期疗效相同,手术时间短,术中出血少,是一种较好的治疗方法。
Objective It is to compare advantage and disadvantage of two ways with stereotactic dyainage pipe for treating thalamic hemorrhage breaking into ventriculus. Methods The patients with thalamie hemorrhage breaking into ventriculus were divided into two groups： 45 cases with one pipe through hematoma center to the third ventricle; the other 45 cases with two pipes aim at hematoma center and lateral ventricle. The operation time, intraoperative blood loss, time of pulling out the pipe （s） and the ADL Score 3 months after operations between the two groups were compared. Results The operations of the two groups were completed successfully. The operation time of the two pipes group（ （90 ± 23 ）rain） was significantly longer than the one pipe group （ （ 60 ± 15 ） min） （ P 〈 0.01 ）. The intraoperative blood loss of the two pipes group （ （ 11 ± 2 ） mL） were significantly quantities than the one pipe group （ （5 ± 3 ） mL） （ P 〈 0.01 ）. The time to pull out the pipe （s） of the two pipes group （ （3.0± 1.5）d ）were significantly shorter than the one pipe group（ （7.5 ± 1.5）d） （P 〈0.01 ）. The ADL Score in 3 months after operation was not significantly different between the two groups. Conclusion For treating thalamic hemorrhage breaking into ventriculus, compared with the ways of using two pipes, one pipe has longer time with the pipe, but using one pipe has the same short - term effect and significantly shorter operation time, less intraoperative blood loss. It is a better treatment method.
出处
《现代中西医结合杂志》
CAS
2012年第1期14-15,32,共3页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
立体定向
置管引流术
丘脑出血
脑室
stereotactic
dyainage pipe operation
thalamic hemorrhage
ventriculus
