两种方法预防蛛网膜下腔出血并发症的疗效

目的对比两种脑脊液引流方法对预防动脉瘤蛛网膜下腔出血后并发症的效果。方法回顾分析本院97例动脉瘤蛛网膜下腔出血患者，其中34例采用术中侧裂池置管经皮持续外引流脑脊液，63例采用术后持续腰穿置换脑脊液，均接受常规治疗，随访其并发症发生率，时间大于6个月。结果在观察病例中，外侧裂置管持续外引流者其脑积水和血管痉挛等并发症的发生率明显低于腰穿脑脊液置换组，差异具有显著性（P〈0．05）。结论外侧裂置管持续脑脊液引流对蛛网膜下腔出血并发症的预防具有较好的疗效。

The Efficacy between Lateral Fissure Drainage and Cerebrospinal Fluid Displacement to Prevent Complications after Subarachnoid Hemorrhage

Objective To analyze the efficacy for preventing complications after SAH by two methods of cerebrospinal fluid drainage. Methods All 97 patients with subarachnoid hemorrhage were reviewed,34 patients were treated with lateral fissure drainage, 63 patients with cerebrospinal fluid replacement, and all received conventional treatment. The incidence of complications were observed follow-up time greater than 6 months. Results Those with lateral fissure drainage had a low incidence of complications such as vasospasm and hydrocephalus. It showed an obvious statistical significance （ P 〈 0.05 ）. Conclusion Lateral fissure drainage for the prevention of complications after SAIl is efficitive.