| 腰大池引流与连续多次腰穿防治交通性脑积水的疗效比较 |
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| 引用本文： | 贺仕清,陈锐,杨辛治,邹云龙,阳文任,廖勇仕,谭阳辉,李冲,丁文聪.腰大池引流与连续多次腰穿防治交通性脑积水的疗效比较[J].南华大学学报(医学版),2020(1):97-101. |
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| 作者姓名： | 贺仕清 陈锐 杨辛治 邹云龙 阳文任 廖勇仕 谭阳辉 李冲 丁文聪 |
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| 作者单位： | 南华大学附属南华医院神经外科,湖南 衡阳 421002,南华大学附属南华医院神经外科,湖南 衡阳 421002,南方医科大学附属深圳医院神经外科,广东 深圳 518100,南华大学附属南华医院神经外科,湖南 衡阳 421002,南华大学附属南华医院神经外科,湖南 衡阳 421002,南华大学附属南华医院神经外科,湖南 衡阳 421002,南华大学附属南华医院神经外科,湖南 衡阳 421002,南华大学附属南华医院神经外科,湖南 衡阳 421002,南华大学附属南华医院神经外科,湖南 衡阳 421002 |
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| 摘 要： | 分析腰大池持续引流与连续多次腰穿防治交通性脑积水的疗效。采用腰大池持续引流(治疗组)与连续多次腰穿(对照组)防治急性交通性脑积水或急性脑室扩张发生。比较两组间脑脊液廓清速率、急性脑积水或急性脑室扩张患者的缓解率、脑积水及并发症的发生率。治疗组脑脊液廓清速率、脑积水/脑室扩张的急性缓解率均明显高于对照组(P＜0.05),但交通性脑积水的发生率明显低于对照组(P＜0.05)。结果表明腰大池持续引流较连续多次腰穿能有效、快速廓清血性脑脊液、缓解急性交通性脑积水/急性脑室扩张、有效防治继发性交通性脑积水的发生。
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| 关 键 词： | 腰大池引流 连续多次腰穿 交通性脑积水 |
| 收稿时间： | 2019/4/23 0:00:00 |
| 修稿时间： | 2019/8/30 0:00:00 |
Comparison of curative effect between lumbar cistern drainage and continuous multiple lumbar puncture for prevention and treatment of traffic hydrocephalus |
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| HE Shiqing,CHEN Rui,YANG Xinzhi,ZOU Yunlong,YANG Wenren,LIAO Yongshi,TAN Yanghui,LI Chong and DING Wencong.Comparison of curative effect between lumbar cistern drainage and continuous multiple lumbar puncture for prevention and treatment of traffic hydrocephalus[J].Journal of Nanhua University(Medical Edition),2020(1):97-101. |
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| Authors: | HE Shiqing CHEN Rui YANG Xinzhi ZOU Yunlong YANG Wenren LIAO Yongshi TAN Yanghui LI Chong and DING Wencong |
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| Institution: | Department of Neurosurgery, Nanhua Hospital Affiliated to University of South China, Hengyang 421002,Hunan, China,Department of Neurosurgery, Nanhua Hospital Affiliated to University of South China, Hengyang 421002,Hunan, China,Department of Neurosurgery, Shenzhen Hospital Affiliated to Southern Medical University, Shenzhen 518100, Guangdong,China,Department of Neurosurgery, Nanhua Hospital Affiliated to University of South China, Hengyang 421002,Hunan, China,Department of Neurosurgery, Nanhua Hospital Affiliated to University of South China, Hengyang 421002,Hunan, China,Department of Neurosurgery, Nanhua Hospital Affiliated to University of South China, Hengyang 421002,Hunan, China,Department of Neurosurgery, Nanhua Hospital Affiliated to University of South China, Hengyang 421002,Hunan, China,Department of Neurosurgery, Nanhua Hospital Affiliated to University of South China, Hengyang 421002,Hunan, China and Department of Neurosurgery, Nanhua Hospital Affiliated to University of South China, Hengyang 421002,Hunan, China |
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| Abstract: | To compare and analyze the curative effects of continuous lumbar cistern drainage and multiple lumbar punctures on the prevention and treatment of communicating hydrocephalus. Take continuous lumbar cistern drainage (treatment group) and repeated lumbar puncture (control group) to treat the patients who have acute traffic hydrocephalus or acute ventricular dilatation. Compare the rate of clearance of cerebrospinal fluid, the rate of remission of patients with acute hydrocephalus or acute ventricular dilatation, the incidence of hydrocephalus, and the incidence of related complications between the two groups.The clearance rate of cerebrospinal fluid and the acute remission rate of hydrocephalus/ventricular dilate was significantly higher than that in the control group (P<0.05), the incidence of traffic hydrocephalus was significantly lower than that in the control group (P<0.05).The results showed that continuous drainage of lumbar cistern could effectively and rapidly dissect hemorrhagic cerebrospinal fluid, relieve acute traffic hydrocephalus/acute ventricular dilatation, and effectively prevent and treat secondary traffic hydrocephalus. |
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| Keywords: | lumbar cistern drainage continuous multiple lumbar puncture traffic hydrocephalus |
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