[1]廖驭国　刘胜初　钟云天　罗　捷.腰大池引流术防治颅内动脉瘤栓塞术后脑血管痉挛的临床疗效[J].中国临床神经外科杂志,2016,(02):89-91.[doi:10.13798/j.issn.1009-153X.2016.02.010]
　LIAO Yu-guo,LIU Sheng-chu,CHU Yun-tian,et al.Effect of lumbar cistern drainage on cerebral vasospasm in patients with ruptured intracranial aneurysms after embolization[J].,2016,(02):89-91.[doi:10.13798/j.issn.1009-153X.2016.02.010]
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腰大池引流术防治颅内动脉瘤栓塞术后脑血管痉挛的临床疗效()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年02期
页码:
89-91
栏目:
论著
出版日期:
2016-02-25

文章信息/Info

Title:
Effect of lumbar cistern drainage on cerebral vasospasm in patients with ruptured intracranial aneurysms after embolization
文章编号:
1009-153X（2016）02-0089-03
作者:
廖驭国　刘胜初　钟云天　罗　捷
517000 广东，河源市人民医院神经外科
Author(s):
LIAO Yu-guo;  LIU Sheng-chu;  CHU Yun-tian;  LUO Jie.
Department of Neurosurgery, People’s Hospital of Heyuan City, Heyuan 517000, China
关键词:
颅内动脉瘤; 血管内治疗; 腰大池引流术; 脑血管痉挛
Keywords:
Intracranial aneurysms;  Rupture;  Lumbar cistern drainage;  Cerebral vasospasm
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2016.02.010
文献标志码:
A
摘要:
目的 探讨腰大池引流术防治颅内破裂动脉瘤栓塞后脑血管痉挛（CVS）的临床效果。方法 将73例颅内破裂动脉瘤患者随机分为观察组（36例）和对照组（37例），观察组栓塞术后1 d内行腰大池引流术释放脑脊液，对照组采用腰椎穿刺术。结果 两组栓塞术后3、7、10、14 d颅内压、脑脊液红细胞数量和脑脊液SP100蛋白浓度较术前均明显降低（P<0.05），观察组更显著（>P<0.05）。两组术后7、14 d大脑中动脉的血流速度、双侧颈内动脉颅外段血流速度较术前均显著降低（P<0.05），观察组更显著（>PP<0.05）。两组术后并发症发生率无统计学差异（>P>0.05）。结论 颅内破裂动脉瘤血管内栓塞治疗后，早期应用腰大池引流术能够显著降低CVS发生率。
Abstract:
Objective To explore preventive effect of lumbar cistern drainage on cerebral vasospasm (CVS) in patients with ruptured intracranial aneurysms after endovacular embolization. Methods Seventy-three patients with ruptured intracranial aneurysms after embolization were randomly divided into observed group and control group. Hunt-Hess grades of patients’ conditions in two groups ranged from grade Ⅰ to Ⅲ. All the patients received continuous intravenous infusion of nimodipine. The patients in the observed group underwent lumbar cistern drainage of cerebrospinal fluid (CSF), and the patients in the control group received intermittent lumbar puncture for the release of CSF. The incidence of CVS and intracranial pressure were observed in both the groups. Results The intracranial pressures measured by lumbar puncture were significantly lower in the observed group than those in the control group 3, 7, 10 and 14 days after the treatment (P< 0.05). The incidence of CVS was significantly lower in the observed group than that in the control group (P

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更新日期/Last Update: 2016-02-25