神经损伤与功能重建
神經損傷與功能重建
신경손상여공능중건
NEURAL INJURY AND FUNCTIONAL RECONSTRUCTION
2013年
3期
188-191
,共4页
许峰%连立飞%朱文浩%王刚%徐珂%康慧聪%刘晓艳%唐洲平%朱遂强
許峰%連立飛%硃文浩%王剛%徐珂%康慧聰%劉曉豔%唐洲平%硃遂彊
허봉%련립비%주문호%왕강%서가%강혜총%류효염%당주평%주수강
脑出血%颅内积气%抽吸%引流%手术治疗%并发症
腦齣血%顱內積氣%抽吸%引流%手術治療%併髮癥
뇌출혈%로내적기%추흡%인류%수술치료%병발증
intracerebralhemorrhage%pneumocephalus%aspiration%drainage%surgery%complication
目的：了解脑出血微创血肿抽吸引流术（微创术）后颅内积气的发生情况。方法：接受微创术治疗的脑出血患者134例，术后出现颅内积气的患者为A组（n=97），未出现颅内积气的病例为B组（n=37）。对2组的临床数据进行统计分析。结果：A组中双针穿刺比例、血肿抽吸量及引流量与B组比较差异有统计学意义（P<0.05）。Logistic回归分析表明，双针穿刺是影响术后颅内积气及其严重程度的独立危险因素。结论：脑出血微创血肿抽吸引流术后常出现颅内积气，但对患者预后无显著影响。双针穿刺可能增加术后颅内积气的风险。
目的：瞭解腦齣血微創血腫抽吸引流術（微創術）後顱內積氣的髮生情況。方法：接受微創術治療的腦齣血患者134例，術後齣現顱內積氣的患者為A組（n=97），未齣現顱內積氣的病例為B組（n=37）。對2組的臨床數據進行統計分析。結果：A組中雙針穿刺比例、血腫抽吸量及引流量與B組比較差異有統計學意義（P<0.05）。Logistic迴歸分析錶明，雙針穿刺是影響術後顱內積氣及其嚴重程度的獨立危險因素。結論：腦齣血微創血腫抽吸引流術後常齣現顱內積氣，但對患者預後無顯著影響。雙針穿刺可能增加術後顱內積氣的風險。
목적：료해뇌출혈미창혈종추흡인류술（미창술）후로내적기적발생정황。방법：접수미창술치료적뇌출혈환자134례，술후출현로내적기적환자위A조（n=97），미출현로내적기적병례위B조（n=37）。대2조적림상수거진행통계분석。결과：A조중쌍침천자비례、혈종추흡량급인류량여B조비교차이유통계학의의（P<0.05）。Logistic회귀분석표명，쌍침천자시영향술후로내적기급기엄중정도적독립위험인소。결론：뇌출혈미창혈종추흡인류술후상출현로내적기，단대환자예후무현저영향。쌍침천자가능증가술후로내적기적풍험。
Objective:To investigate the pneumocephalus following the minimally invasive hematoma aspiration andthrombolysisforintracerebralhemorrhage(ICH).Methods:One hundredandthirty-fourICH patients were giv-enthe minimally invasive hematoma aspiration and thrombolysis. The cases with pneumocephalus (group A, n=97)andthe patientswithoutpneumocephalus(groupB, n=37)have been documentedand reviewed. Clinical data of two groups were analyzed. Results:There were significant difference in the proportion of double-needle aspira-tion, the amount of hematoma aspiration and drainage of group A compared with those in group B. Logistic regres-sion analysis indicates that double-needle puncture may be an independent risk factor for postoperative pneumo-cephalus. Conclusion:The pneumocephalus is common following the minimally invasive hematoma and throm-bolysisfor patients with ICH, whichdoes not affect the outcome ofthe patients. Double-needle puncture maybe the riskfactorofpneumocephalus.
