CAJ | 학술논문

目的：：探讨不同侧脑室穿刺引流方法对脑室出血的临床治疗效果。方法：选取2011年11月至2014 年11月期间在宝鸡市人民医院神经外科进行诊治的脑室出血患者56例作为研究对象。其中28例进行侧脑室双侧前角穿刺引流,28例前后角穿刺引流,观察治疗效果。结果：侧脑室双侧前角组治疗效果较好7例,轻度残疾9例,重度残疾9例,患者死亡3例,治疗有效率57.1%；侧脑室前后角组治疗效果较好10例,轻度残疾13例,重度残疾4例,患者死亡1例,治疗有效率82.1%；脑室畅通时间、引流管保留时间、意识改善时间、头痛缓解时间、住院时间侧脑室前后角组均优于侧脑室双侧前角组。结论：侧脑室穿刺引流的不同手术方法对脑室穿刺外引流的效果有影响,侧脑室前后角穿刺引流具有较好的临床效果。
목적：：탐토불동측뇌실천자인류방법대뇌실출혈적림상치료효과。방법：선취2011년11월지2014 년11월기간재보계시인민의원신경외과진행진치적뇌실출혈환자56례작위연구대상。기중28례진행측뇌실쌍측전각천자인류,28례전후각천자인류,관찰치료효과。결과：측뇌실쌍측전각조치료효과교호7례,경도잔질9례,중도잔질9례,환자사망3례,치료유효솔57.1%；측뇌실전후각조치료효과교호10례,경도잔질13례,중도잔질4례,환자사망1례,치료유효솔82.1%；뇌실창통시간、인류관보류시간、의식개선시간、두통완해시간、주원시간측뇌실전후각조균우우측뇌실쌍측전각조。결론：측뇌실천자인류적불동수술방법대뇌실천자외인류적효과유영향,측뇌실전후각천자인류구유교호적림상효과。
Objective :To investigate the efficacy of different lateral ventricle puncture drainage for clinical treatment of ventricular hemorrhage.Method :56 cases of patients with ventricular hemorrhage between 201 1 Nov. and 2014 Nov.were selected and randomized into two groups,28 cases accepted bilateral anterior horn of lateral ventricle puncture drainage,28 cases accepted front and back the angle of lateral ventricle puncture drainage,observe the therapeutic effect.Results:7 cases of bilateral anterior horn of lateral ventricles group treatment result were ex-cellent,9 cases were mild disability,9 cases were severe disability,3 cases died,the effective rate of treatment group 57.1%;front and back the angle of lateral ventricle puncture drainage group treatment result was excellent in 10 cases,mild disability in 13 cases,severe disability in 4 cases,1 cases died,the effective rate of the treatment of the postoperative 82.1%;The index of postoperative,front and back the angle of lateral ventricle puncture drainage were higher than those bilateral anterior horn of lateral ventricles group.Conclusion :Different operation methods have different efficacies on treating ventricular hemorrhage.Front and back the angle of lateral ventricle puncture drainage group has better clinical effects.