CAJ | 학술논문

目的：探讨单纯脑室外引流术及脑室镜联合脑室外引流术2种手术方法治疗原发性脑室出血的治疗效果。方法：将原发性脑室出血68例患者用随机数字表的方法随机分成两组，分别采取单纯脑室外引流术（对照组）及脑室镜联合脑室引流术（治疗组）的手术方法进行治疗。结果：治疗组中，2例死亡，死亡率为5.88%，对照组中，死亡5例，死亡率为14.71%，差异有统计学意义（ P﹤0.03）。在拔管时间、再出血率、住院时间、术后30 d脑积水发生率方面比较P=0.02、0.03、0.02、0.04，差异有统计学意义。结论：脑室镜联合脑室外引流术治疗原发性脑室出血患者，可以降低死亡率、缩短拔管时间、缩短住院时间、降低再出血率及降低远期脑积水发生率，因此脑室镜联合脑室外引流术的治疗方法是安全、有效的。
목적：탐토단순뇌실외인류술급뇌실경연합뇌실외인류술2충수술방법치료원발성뇌실출혈적치료효과。방법：장원발성뇌실출혈68례환자용수궤수자표적방법수궤분성량조，분별채취단순뇌실외인류술（대조조）급뇌실경연합뇌실인류술（치료조）적수술방법진행치료。결과：치료조중，2례사망，사망솔위5.88%，대조조중，사망5례，사망솔위14.71%，차이유통계학의의（ P﹤0.03）。재발관시간、재출혈솔、주원시간、술후30 d뇌적수발생솔방면비교P=0.02、0.03、0.02、0.04，차이유통계학의의。결론：뇌실경연합뇌실외인류술치료원발성뇌실출혈환자，가이강저사망솔、축단발관시간、축단주원시간、강저재출혈솔급강저원기뇌적수발생솔，인차뇌실경연합뇌실외인류술적치료방법시안전、유효적。
Objective To investigate the eXterna1 ventricu1ar drainage and surgerY combined with eXterna1 ventricu1ar drainage in the treatment of 2 Kinds of operation method of primarY intraventricu1ar hemorrhage. Methods PrimarY intraventricu1ar hemorrhage in 68 pa_tients with the method of random number tab1e were random1Y divided into two groups,respective1Y taKe simp1e ventric1e eXterna1 drainage ( contro1 group ) drainage and surgerY combined with ventric1e( treatment group ) were treated bY operation. Results In the treatment group,2 cases died,the morta1itY rate was 5. 88%,the contro1 group,5 cases died,the morta1itY rate was 14. 71%,P va1ue 0. 03,time of tube,reb1eeding rate,hospita1ization time,postoperative 30 daY incidence of hYdrocepha1us on P va1ues were 0. 02,0. 03,0. 02,0. 04 in the drawing,there was significance. conclusion SurgerY combined with eXterna1 ventricu1ar drainage in the treatment of primarY intraventricu1ar hemorrhage,can reduce the morta1itY rate,shorten the time of eXtubation,shorten the hospita1ization time,reduce the rate of reb1eeding and decrease the incidence of hYdrocepha1us bY ventricu1oscope,so combined with eXterna1 ventricu1ar drainage treatment surgerY is safe and ef_fective.