| 腰大池引流时程与颅内动脉瘤术后慢性分流依赖性脑积水的关系 |
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| 引用本文： | 郭文才,吴 过,熊建平,李 锐.腰大池引流时程与颅内动脉瘤术后慢性分流依赖性脑积水的关系[J].现代肿瘤医学,2015,0(12):1662-1665. |
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| 作者姓名： | 郭文才 吴 过 熊建平 李 锐 |
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| 作者单位： | 巴中市中心医院神经外科，四川 巴中 636600 |
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| 基金项目： | 四川省科技厅科技支撑项目（编号:2012SZ0127） |
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| 摘 要： | 目的:探讨腰大池引流时程与颅内动脉瘤术后慢性分流依赖性脑积水之间的相关性。方法:选取我院2010年3月至2012年3月神经外科收治的ASAH患者109例。所有患者在入院时均由医师记录年龄、性别、有无脑室积血、有无急性脑积水、Hunt-Hess 分级、蛛网膜下腔出血的改良 Fisher 分级等资料。采用腰大池引流治疗期间，连续记录患者每日的引流量、脑脊液的形状及其检验结果。结果:年龄（P=0.027）、脑室内积血（P=0.000）、Hunt-Hess 分级（P=0.002）、改良 Fisher 分级（P=0.001）、腰大池引流时程（P=0.017）与慢性分流依赖性脑积水发生情况之间存在关联性。经进一步的Logistic回归分析显示腰大池引流时程、改良 Fisher 分级是慢性分流性脑积水最主要的危险因素。结论:腰大池引流时程、改良 Fisher 分级是慢性分流性脑积水最主要的危险因素。但如何选择最佳的腰大池引流时程，减少患者颅内动脉瘤术后慢性分流依赖性脑积水的发生仍需要更多的研究进行探讨。
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| 关 键 词： | 颅内动脉瘤 慢性分流依赖性脑积水 腰大池引流时程 危险因素 |
The relationship between the duration of lumbar drainage and shunt-dependent chronic hydrocephalus in ASAH patients after aneurysm clipping |
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| Guo Wencai,Wu Guo,Xiong Jianping,Li Rui.The relationship between the duration of lumbar drainage and shunt-dependent chronic hydrocephalus in ASAH patients after aneurysm clipping[J].Journal of Modern Oncology,2015,0(12):1662-1665. |
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| Authors: | Guo Wencai Wu Guo Xiong Jianping Li Rui |
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| Affiliation: | Department of Neurosurgery,the Central Hospital of Bazhong City,Sichuan Bazhong 636600,China. |
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| Abstract: | Objective:To investigate the relationship between the duration of lumbar drainage and shunt-dependent chronic hydrocephalus in ASAH patients after aneurysm clipping.Methods:All 109 ASAH patients in our hospital from 2010 to 2012 were selected.Age,gender,presence of intraventricular hemorrhage,with or without acute hydrocephalus,Hunt-Hess grade,Fisher grade improvement subarachnoid hemorrhage and other information were recorded when patients admitted to hosipital.With lumbar cistern drainage during the treatment,the shape and the test results of cerebrospinal fluid were record everyday.Results:Age(P=0.027),intraventricular hemorrhage(P=0.000),Hunt-Hess grade(P=0.002),modified Fisher grade(P=0.001),the duration of lumbar cistern drainage(P=0.017) were correlated with the presence of chronic conditions and the occurrence of shunt-dependent hydrocephalus.The duration of lumbar cistern drainage,improved Fisher grade,Hunt-Hess grade were risk factors to the chronic hydrocephalus shunt.Conclusion:Duration of lumbar CSF drainage,initial Hunt-Hess grade,initial Modified Fisher Scale are independent risk factors of SDCH in ASAH patients who were treated with clipping surgery.It is essential to find a valid intervening method and an appropriate duration of lumbar CSF drainage to prevent SDCH at the same time. |
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| Keywords: | intracranial aneurysm chronic shunt dependent hydrocephalus duration of lumbar drainage related factors |
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