[1]王 龙,陈谦学,刘骏辉,等.颅内压监测辅助下钻孔引流术治疗自发性脑出血的临床疗效分析[J].中国临床神经外科杂志,2018,(09):581-584.[doi:10.13798/j.issn.1009-153X.2018.09.002]
 WANG Long,CHEN Qian-xue,LIU Jun-hui,et al.Clinical effects of drainage of hematoma cavity under intracranial pressure monitoring on spontaneous intracerebral hemorrhage[J].,2018,(09):581-584.[doi:10.13798/j.issn.1009-153X.2018.09.002]
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颅内压监测辅助下钻孔引流术治疗自发性脑出血的临床疗效分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年09期
页码:
581-584
栏目:
论著
出版日期:
2018-09-25

文章信息/Info

Title:
Clinical effects of drainage of hematoma cavity under intracranial pressure monitoring on spontaneous intracerebral hemorrhage
文章编号:
1009-153X(2018)09-0581-04
作者:
王 龙陈谦学刘骏辉田道锋刘宝辉张申起许 州杨吉安
430060 武汉,武汉大学人民医院神经外科(王 龙、陈谦学、刘骏辉、田道锋、刘宝辉、张申起、许 州、杨吉安)
Author(s):
WANG Long CHEN Qian-xue LIU Jun-hui TIAN Dao-feng LIU Bao-hui ZHANG Shen-qi XU Zhou YANG Ji-an.
Department of Neurosurgery, Renmin Hospital, Wuhan University, Wuhan 430060, China
关键词:
自发性脑出血钻孔引流术颅内压监测预后
Keywords:
Intracerebral hemorrhage Hematomas Trepanation and drainage Intracranial pressure Monitoring Outcomes
分类号:
R 743.34; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2018.09.002
文献标志码:
A
摘要:
目的 探讨颅内压监测辅助下钻孔引流术治疗自发性脑出血的临床疗效。方法 回顾性分析2014年9月至2017年8月收治的176例自发性脑出血(出血量30~80 ml)的临床资料,其中采用钻孔引流术治疗78例(钻孔组),颅内压监测辅助下钻孔引流术治疗42例(监测组),开颅血肿清除术治疗56例(开颅组)。结果 钻孔组和监测组手术时间、住院时间较开颅组均明显缩短(P<0.01)。监测组术后颅内感染发生率明显高于钻孔组和开颅组(P<0.05),但是肾功能异常发生率却明显降低(P<0.05)。开颅组肺部感染发生率明显高于钻孔组和监测组(P<0.01)。术后6个月,钻孔组和监测组ADL评分均明显优于开颅组(P<.05)。术后1个月,钻孔组和监测组GOS评分明显高于开颅组(P<0.05)。而术后6、12个月,3组GOS评分均无明显差异(P>0.05)。结论 对于中等量的自发性脑出血,钻孔引流术临床疗效显著,术后颅内压监测有助于减少肾功能异常发生率。
Abstract:
Objective To observe the effect of drainage of hematoma cavity under intracranial pressure monitoring on spontaneous intracerebral hemorrhage (sICH). Methods Of 176 patients with sICH treated from September, 2014 to August, 2017, 78 (group A) were treated by the drainage of hematoma cavity, 42 (group B) by drainage of hematoma cavity under the intracranial pressure monitoring and 56 (group C) by conventional craniotomy for the evacuation of hematomas. Results The rate of postoperative renal dysfunction was significantly lower in group B than those in groups A and C (P<0.05). The scores of activities of daily living were significantly more in group B than those in groups A and C 6 months after the operation (P<0.05). The rate of good prognosis was significantly higher in group B than those in groups A and C 1 month after the operation (P<0.05). The rate of postoperative intracranial infection was significantly higher in group B than those in groups A and C (P<0.05). Conclusion The drainage of hematoma cavity under the intracranial pressure monitoring is helpful to improvement of the prognosis and the decrease in the rate of postoperative renal dysfunction in the patients with moderate volume of hematomas induced by sICH.

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更新日期/Last Update: 2018-09-30