CAJ | 학술논문

目的：探讨腰池引流在颅内动脉瘤夹闭术中及术后的疗效及安全性。方法回顾分析2010年4月至2012年4月该科行颅内动脉瘤瘤颈夹闭术患者285例，均于手术麻醉后行腰池置管引流术，统计所有患者的并发症。结果285例患者中，无患者引流后动脉瘤破裂；脑牵拉综合征的发病率为3．00％；脑血管痉挛的发病率为11．60％；脑积水的发病率为2．10％；术后颅内感染的发病率为9．10％；死亡率为1．05％。结论腰池引流是一项安全、有效、简便的治疗手段，能有效地降低颅内动脉瘤夹闭术的风险，防治术后并发症，最终改善预后。
목적：탐토요지인류재로내동맥류협폐술중급술후적료효급안전성。방법회고분석2010년4월지2012년4월해과행로내동맥류류경협폐술환자285례，균우수술마취후행요지치관인류술，통계소유환자적병발증。결과285례환자중，무환자인류후동맥류파렬；뇌견랍종합정적발병솔위3．00％；뇌혈관경련적발병솔위11．60％；뇌적수적발병솔위2．10％；술후로내감염적발병솔위9．10％；사망솔위1．05％。결론요지인류시일항안전、유효、간편적치료수단，능유효지강저로내동맥류협폐술적풍험，방치술후병발증，최종개선예후。
Objective To explore and discuss the safety and treatment effect in intraoperative and postoperative intracerebral an-eurysm clip occlusion .Methods Retrospective analysis of 285 cases from April 2010 to April 2012 which underwent aneurysm clip occlusion was conducted .All patients received lumbar drainage surgery after anaesthesia .All patient′s complications were statisti-cally analyzed .Results In 285 patients ,no aneurysm rupture happened after drainage ;brain retraction syndrome′s incidence rate was 3 .00% ;cerebral vasospasm′s incidence rate was 11 .60% ;hydrocephalus′s incidence rate was 2 .10% ;intracranial infection′s incidence rate was 9 .10% .The mortality rate was 1 .05% .Conclusion Lumbar drainage is a safe ,effective ,simple treatment .It can effectively reduce the risk of aneurysm clip occlusion ,prevention and treatment of postoperative complications ,and ultimately im-prove the prognosis .