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两种术式治疗脑室型丘脑出血的对比研究
引用本文:王汉平,魏俊,吴学群,王威.两种术式治疗脑室型丘脑出血的对比研究[J].临床外科杂志,2008,16(10).
作者姓名:王汉平  魏俊  吴学群  王威
作者单位:湖北省孝感市中心医院神经外科,432100
摘    要:目的探讨显微技术小骨窗开颅行丘脑血肿清除术+脑室外引流术与丘脑血肿穿刺引流术+脑室外引流术治疗脑室型丘脑出血的疗效。方法46例脑室型丘脑出血(大于20ml)患者随机分成A、B两组,A组22例,采用显微技术小骨窗开颅丘脑血肿清除术+脑室外引流术;B组24例,在CT定位下行丘脑血肿穿刺引流术+脑室外引流术。结果A组治疗在意识恢复时间、死亡率、GOS评分与B组比较差异有统计学意义(P〈0.05)。结论丘脑血肿大于20ml的脑室型丘脑出血宜采用显微外科小骨窗开颅行丘脑血肿清除术+脑室外引流术。

关 键 词:丘脑出血  脑室型  治疗

Comparison of two methods in the treatment of thalamic hemorrhage of ventricular type
WANG Han-ping,WEI Jun,WU Xue-qun,et al..Comparison of two methods in the treatment of thalamic hemorrhage of ventricular type[J].Journal of Clinical Surgery,2008,16(10).
Authors:WANG Han-ping  WEI Jun  WU Xue-qun  
Institution:WANG Han-ping,WEI Jun,WU Xue-qun,et al.(Department of Neurosurgy,Central Hospital of Xiaogan,Hubei 432100,China)
Abstract:Objective To compare the curative effects of microsurgical hematoma removal of thalamic hemorrhage and extraventricular drainage vs puncture and drainage of thalamic hemorrhage plus extraventricular drainage.Mothods Forty-six cases of thalamic hemorrhage(> 20ml)of ventricular type were randomly divided into group A(n=22)and group B(n=24).The patients in group A were subjected to microsurgical hematoma removal of thalamic hemorrhage plus extraventricular drainage,and those in group B received puncture and dr...
Keywords:thalamic hemorrhage  ventricular type  treatment  
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