[1]曹　轲　段兴浩　刘玉飞　冯　进　徐兴国　陈一笑　马　辉　李宗正.重型颅脑损伤去骨板减压术后早期腰椎穿刺术与继发性脑积水的关系[J].中国临床神经外科杂志,2015,(09):535-537.[doi:10.13798/j.issn.1009-153X.2015.09.008]
　CAO Ke,DUAN Xing-hao,LIU Yu-fei,et al.Analysis of relationship between early lumbar puncture and the incidence of secondary postoperative hydrocephalus in patients with severe traumatic brain injury[J].,2015,(09):535-537.[doi:10.13798/j.issn.1009-153X.2015.09.008]
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重型颅脑损伤去骨板减压术后早期腰椎穿刺术与继发性脑积水的关系()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年09期
页码:
535-537
栏目:
论著
出版日期:
2015-09-30

文章信息/Info

Title:
Analysis of relationship between early lumbar puncture and the incidence of secondary postoperative hydrocephalus in patients with severe traumatic brain injury
文章编号:
1009-153X（2015）09-0535-03
作者:
曹　轲　段兴浩　刘玉飞　冯　进　徐兴国　陈一笑　马　辉　李宗正
750004 银川，宁夏医科大学（曹　轲、段兴浩、刘玉飞、冯进、徐兴国、陈一笑）；518035 广东，深圳市第二人民医院神经外科（刘玉飞）；750004 银川，宁夏医科大学总医院神经外科（马　辉、李宗正）
通讯作者：李宗正，E-mail：nxlizongzh@163.com
Author(s):
CAO Ke1;  DUAN Xing-hao1;  LIU Yu-fei2;  FENG Jin1;  XU Xing-guo1;  CHEN Yi-xiao1;  MA Hui3;  LI Zhong-zheng3.
1. Ningxia Medical University, Yinchuan 750004, China; 2. Department of Neurosurgery, The Second People’s Hospital of Shenzhen City, Shenzhen 518035, China; 3.Department of Neurosurgery, General Hospital, Ningxia Medical University, Yinchuan 750004, China
关键词:
重型颅脑损伤; 去骨板减压术; 腰椎穿刺术; 继发性脑积水; 效果
Keywords:
Severe traumatic brain injury;  Lumbar puncture;  Prevention;  Secondary postoperative hydrocephalus
分类号:
R 651.1+5; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2015.09.008
文献标志码:
B
摘要:
目的 探讨早期腰椎穿刺术（LP）预防重型颅脑损伤（STBI）去骨板减压术后继发性脑积水的效果。方法 回顾性分析2010年6月至2013年6月收治的107例STBI患者的临床资料，均行开颅去骨瓣减压术，术后早期LP治疗48例（LP组），未给予LP干预59例（对照组）。结果 LP术后5例（10.4%）发生脑积水，其中急性脑积水2例（4.2%），亚急性脑积水2例（4.2%），慢性脑积水1例（2.1%）。对照组术后22例（37.3%）发生脑积水，其中急性脑积水11例（18.6%），亚急性脑积水10例（16.9%），慢性脑积水1例（1.7%）。两组脑积水总发生率、急性脑积水发生率和亚急性脑积水发生率均有统计学差异（P<0.01）。>结论 STBI患者去骨板减压术后早期辅以LP可有效降低术后急性脑积水和亚急性脑积水的发生率，而对慢性脑积水的无明显影响。
Abstract:
Objective To investigate the effect of early lumbar puncture (LP) on the secondary postoperative hydrocephalus in patients with severe traumatic brain injury (sTBI). Methods The clinical data of 107 patients with sTBI, who were treated in our hospital from June, 2010 to June, 2013, were analyzed retrospectively. Of 107 patients, 48 (observed group) received lumber puncture early after the operation and 59 (control group) not. The incidences of postoperative hydrocephalus were compared between both the groups. Results The total incidence of the postoperative hydrocephalus (10.42%, 5/48) was significantly lower in the observed group than that (37.29%, 22/59) in the control group (P<0.01). the="" incidences="" of="" postoperative="" hydrocephalus="" in="" acute="" and="" subacute="" phases="" were="" significantly="" lower="" observed="" group="" than="" those="" control="" (P<0.05). there="" was="" insignificant="" difference="" in="" the="" incidence="" of="" postoperative="" hydrocephalus="" chronic="" phase="" between="" both="" group="" (P

参考文献/References:

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更新日期/Last Update: 2015-09-30