[1]周朝阳　朱荣岚　姜星星等.神经内镜手术联合脑室外引流术与单纯脑室外引流术治疗脑室出血的疗效比较[J].中国临床神经外科杂志,2021,26(02):77-78.[doi:10.13798/j.issn.1009-153X.2021.02.004]
　ZHOU Chao-yang,ZHU Rong-lan,JIANG Xing-xing,et al.Comparison of curative effect on intraventricular hemo-rrhage: neuroendoscopic surgery combined with extra-ventricular drainage vresus simple extraventricular drainage[J].,2021,26(02):77-78.[doi:10.13798/j.issn.1009-153X.2021.02.004]
点击复制

神经内镜手术联合脑室外引流术与单纯脑室外引流术治疗脑室出血的疗效比较()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年02期
页码:
77-78
栏目:
论著
出版日期:
2021-02-25

文章信息/Info

Title:
Comparison of curative effect on intraventricular hemo-rrhage: neuroendoscopic surgery combined with extra-ventricular drainage vresus simple extraventricular drainage
文章编号:
1009-153X（2021）02-0077-02
作者:
周朝阳　朱荣岚　姜星星等
330006 南昌，江西省人民医院（南昌大学附属人民医院）神经外科（周朝阳、朱荣岚、姜星星、杨　宇、周　斌、习　斌、梁爱军万登峰）
Author(s):
ZHOU Chao-yang;  ZHU Rong-lan;  JIANG Xing-xing;  et al
Department of Neurosurgery, Jiangxi Provincial People’s Hospital (People’s Hospital Affiliated to Nanchang University), Nanchang 330006, China
关键词:
脑室出血; 神经内镜手术; 脑室外引流术; 疗效
Keywords:
Intraventricular hemorrhage;  Neuroendoscopic surgery;  Extraventricular drainage;  Clinical effect
分类号:
R 743.34; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2021.02.004
文献标志码:
A
摘要:
目的 对比分析神经内镜手术联合脑室外引流术与单纯脑室外引流术治疗脑室出血的疗效。方法 回顾性分析2016年1月至2018年12月收治的62例脑室出血的临床资料。神经内镜手术联合脑室外引流术治疗34例（内镜组），单纯脑室外引流术治疗28例（引流组）。结果 与引流组相比，内镜组血肿清除率明显提高（P<0.05），引流管留置时间和住院时间明显缩短（P<0.05），二次置管引流率明显降低（P<0.05）。两组术后12周脑积水发生率、术后再出血和颅内感染发生率、术后6个月GOS评分均无统计学差异（P>0.05）。结论 神经内镜手术联合脑室外引流术治疗脑室出血，可迅速有效清除脑室内血肿，缩短住院时间。
Abstract:
Objective To compare the curative effect of neuroendoscopic surgery combined with extraventricular drainage vresus simple extraventricular drainage on the patients with intraventricular hemorrhage (IVH). Methods The clinical data of 62 patients with IVH, of whom 34 patients received neuroendoscopic surgery combined with extraventricular drainage (neuroendoscopic group) and 28 received simple extraventricular drainage (drainage group) from January 2016 to December 2018, were analyzed retrspectively. Results The hematoma removal rate (83.1%±1.71%) in the neuroendoscopic group was significantly higher than that (69.24%±2.41%) in the drainage group (P<0.05). The indwelling time of drainage tube [(7.44±0.46) days] and hospital stay [(10.89±0.65) days] in the neuroendoscopic group were significantly shorter than those [(15.79±0.65) days and (22.93±1.49) days, respectively] in the drainage group (P<0.05). There was no statistical difference in the rates of intracranial infection, rebleeding and hydrocephalus within 12 weeks after the operation as well as the GOS score 6 months after the operation between the two groups (P>0.05). Conclusion For the patients with IVH, neuroendoscopic surgery combined with extraventricular drainage can increase the hematoma removal rate and reduce the hospital stay.

参考文献/References:

[1] Kondo T. Moyamoya disease [J]. CMAJ, 2018, 190: 1364.
[2] Shimizu Y, Tsuchiya K, Fujisawa H, et al. Endoscopic sur-gery for thalamic hemorrhage with intraventricular hemo-rrhage: effects of combining evacuation of a thalamic hema-toma to external ventricular drainage [J]. Asian J Neurosurg,2019, 14(4): 1112-1115.
[3] 姜星星，万登峰，朱荣岚，等. 内镜下血肿清除术与显微镜下血肿清除术治疗基底核出血的比较研究[J]. 中国微侵袭神经外科杂志，2019，24（9）：412-413.
[4] 杜佐中，陈新军，陈　锋，等. 脑室外引流并尿激酶灌洗治疗高血压重度脑室内出血33例分析[J].中国临床神经外科杂志，2009，14（7）：436-437.
[5] Andriy F, Reinhard B, Jayashree KC, et al. 3D Slicer as an image computing platform for the Quantitative Imaging Network [J]. Magn Reson Imaging, 2012, 30: 1323-1241.
[6] Idris Z, Johnson JR, Abdullah JM. Endoscopic fenestration at the splenial-habenular junctional area for symptomatic cavum and tumor at the foramen of Monro: case reports and anatomical review [J]. J Neurosurg, 2015, 122(3): 504-510.
[7] Suyama D, Kumar B, Watanabe S, et al. Endoscopicapproach to thalamic and intraventricular hemorrhage [J]. Asian J Neurosurg, 2019, 14(1): 77-81.
[8] Whitelaw A, Lee-Kelland R. Repeated lumbar or ventricu-lar punctures in newborns with intraventricular haemorrhage[J]. Cochrane Database Syst Rev, 2017, 4: CD000216.

相似文献/References:

[1]王光明　成　毅　胡克亮.经侧脑室三角区入路手术治疗重型自发性脑室出血[J].中国临床神经外科杂志,2016,(05):306.[doi:10.13798/j.issn.1009-153X.2016.05.018]
[2]符传艺　陈健龙　张　茂　刘朝晖　黄垂学　黄　军　马建荣　赵建农.表现为脑室出血的颅内破裂动脉瘤的诊治[J].中国临床神经外科杂志,2016,(04):234.[doi:10.13798/j.issn.1009-153X.2016.04.014]
[3]张文华　谢　蒙　王　旋　林敏华.内镜手术与显微手术治疗垂体瘤疗效的Meta分析[J].中国临床神经外科杂志,2015,(02):78.[doi:10.13798/j.issn.1009-153X.2015.02.004]
　ZHANG Wen-hua,XIE Meng,WANG Xuan,et al.Endoscopic surgery and microsurgery for pituitary adenomas: a Meta analysis[J].,2015,(02):78.[doi:10.13798/j.issn.1009-153X.2015.02.004]
[4]宋越群　于　剑　王莹莹.尿激酶灌洗对脑室出血患者脑室外引流术后颅内感染的影响[J].中国临床神经外科杂志,2016,(10):628.[doi:10.13798/j.issn.1009-153X.2016.10.022]
[5]赵建平,张红波,穆林森,等.内镜下经鼻蝶术后迟发性鼻出血的护理[J].中国临床神经外科杂志,2016,(12):794.[doi:10.13798/j.issn.1009-153X.2016.12.025]
[6]顾向进　王　东　张党林　张　亮　李冬儒　窦立敏　周　鹏.调节引流高度在脑室出血外引流术中的应用[J].中国临床神经外科杂志,2017,(05):345.[doi:10.13798/j.issn.1009-153X.2017.05.023]
[7]阮航,段发亮,罗明,等.导航辅助内镜下手术治疗高血压性丘脑出血破入脑室[J].中国临床神经外科杂志,2017,(07):491.[doi:10.13798/j.issn.1009-153X.2017.07.015]
[8]龙　勇　曾　春　唐　爽　幸文利　张施远　石海平　王　娟.内镜下和显微镜下手术治疗脑室出血铸型的对比分析[J].中国临床神经外科杂志,2018,(03):158.[doi:10.13798/j.issn.1009-153X.2018.03.006]
　LONG Yong,ZENG Chun,TANG Shuang,et al.Minimally invasive surgery for ventricular hemorrhage cast: neuroendoscope assisted surgery vs microsurgery[J].,2018,(02):158.[doi:10.13798/j.issn.1009-153X.2018.03.006]
[9]丁伟龙　王向宇　王晓东.神经内镜手术和显微手术治疗幕上高血压性脑出血疗效的Meta分析[J].中国临床神经外科杂志,2018,(07):463.[doi:10.13798/j.issn.1009-153X.2018.07.005]
　DING Wei-long,WANG Xiang-yu,WANG Xiao-dong..Comparison of endoscopic surgery and craniotomy for supratentorial hypertensive intracerebral hemorrhage: a meta-analysis[J].,2018,(02):463.[doi:10.13798/j.issn.1009-153X.2018.07.005]
[10]李茂雷　栾　雷　李录华　刘　阳　丰育功.显微镜下和神经内镜下手术治疗高血压性基底节区出血[J].中国临床神经外科杂志,2019,(03):171.[doi:10.13798/j.issn.1009-153X.2019.03.016]

备注/Memo

备注/Memo:
基金项目：江西省卫健委课题（20181002）
通讯作者：万登峰，E-mail：wandengfeng06@163.com
更新日期/Last Update: 2021-02-25