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脑室引流联合脑脊液置换术治疗脑室出血的疗效评价
引用本文:黄保元,尤年兴,黄剑岗.脑室引流联合脑脊液置换术治疗脑室出血的疗效评价[J].中华神经医学杂志,2003,2(4):287-288.
作者姓名:黄保元  尤年兴  黄剑岗
作者单位:常熟市第二人民医院神经内科,江苏,常熟,215500
摘    要:目的 探讨脑室内出血微创治疗的疗效。方法 采用微创钻颅脑室内血肿纤溶引流联合脑脊液置换术对70例原发性脑室出血和脑出血破入脑室病人的治疗。通过临床神经功能缺损程度评分和病死率的比较,作出疗效评价。结果 治疗后4周,治疗组较非手术组神经功能缺损程度评分显著减少,总有效率高于非手术组。病死率低于非手术组。两者差异有显著性意义P<0.01。结论 微创钻颅脑室内血肿纤溶引流联合脑脊液置换术能有效降低脑室内出血病人的致残程度和病死率。为治疗脑室内出血的较好方法之一。

关 键 词:脑室出血  脑室引流  脑脊液置换术  治疗  疗效
文章编号:1671-8925(2003)04-287-02
修稿时间:2002年9月11日

Evaluation of efficacy of the brain-ventricle drainage combined with cerebrospinal fluid replacement in treating brain ventricle hemorrhage
HUANG Baoyuan,YOU Nianxing,HUANG Jiangang.Evaluation of efficacy of the brain-ventricle drainage combined with cerebrospinal fluid replacement in treating brain ventricle hemorrhage[J].Chinese Journal of Neuromedicine,2003,2(4):287-288.
Authors:HUANG Baoyuan  YOU Nianxing  HUANG Jiangang
Institution:HUANG Baoyuan,YOU Nianxing,HUANG Jiangang Department of Neurology,Second People's Hospital of Changshu,Changshu 215500,China
Abstract:Objective To explore the efficacy of microlesion drainage in treating the brain ventricle hemorrhage (HBV). Methods 70 cases of idiopathic and secondary HBV were treated through brain ventricles drainage (BVD) combined with cerebrospinal fluid replacement (CFR), the curative effects were compared through comparison of clinical neurological function disorder (CNFD) and mortality rate (MR). Results After 4 weeks, the comparisons in effects between the 2 groups showed that the marks of CNFD were decreased, the total cure rate increased and the MR reduced with significant differences between them(P<0.01). Conclusion BVD combined with CFR is able to reduce MR and disability and would be a good choice to treat HBV.
Keywords:brain ventxical haemorrhage  microlesion craniotomy  brain-ventricles drainage  cerebrospinal fluid replacement
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