CAJ | 학술논문

目的：总结改良式侧脑室和腰椎蛛网膜下腔持续交替引流术治疗脑室出血（ intraventricular hemorrhage，IVH）的临床疗效。方法我科2010年1月至2014年12月收治的IVH并发脑积水患者60例，按照随机数字表法分为观察组和对照组各30例，观察组实施改良式侧脑室和腰椎蛛网膜下腔持续交替引流术，对照组采取单侧（血肿量多侧）脑室钻孔引流术，比较两组血肿清除时间、引流管拔除时间、术后并发症及术后3个月Barthel评分。结果观察组血肿清除时间、引流管拔除时间及并发症发生率均少于对照组（P＜0.05），术后3个月Barthel评分优于对照组，差异有统计学意义（P＜0.05）。结论 IVH合并脑积水患者实施改良式侧脑室和腰椎蛛网膜下腔持续交替引流术治疗效果好，值得临床推广。
목적：총결개량식측뇌실화요추주망막하강지속교체인류술치료뇌실출혈（ intraventricular hemorrhage，IVH）적림상료효。방법아과2010년1월지2014년12월수치적IVH병발뇌적수환자60례，안조수궤수자표법분위관찰조화대조조각30례，관찰조실시개량식측뇌실화요추주망막하강지속교체인류술，대조조채취단측（혈종량다측）뇌실찬공인류술，비교량조혈종청제시간、인류관발제시간、술후병발증급술후3개월Barthel평분。결과관찰조혈종청제시간、인류관발제시간급병발증발생솔균소우대조조（P＜0.05），술후3개월Barthel평분우우대조조，차이유통계학의의（P＜0.05）。결론 IVH합병뇌적수환자실시개량식측뇌실화요추주망막하강지속교체인류술치료효과호，치득림상추엄。
Objective To summarize the clinical efficacy of a modified continuous alternative drainage between lateral ventri-cle and lumbar subarachnoid for the treatment of ventricular hemorrhage.Methods Sixty patients with ventricular hemorrhage com-bined with hydrocephalus were treated at our department from January 2010 to December 2014.The patients were randomly divided into observation and control groups,30 cases in each group.The observation group was treated with the modified drainage while the control group was treated with a unilateral ventricular drainage hole( hematoma quantity side) .The hematoma removal time,the drainage tube removal time,postoperative complications and Barthel score after 3 months of the treatments were compared.Results The hematoma removal time and drainage tube removal time in the observation group were significant less than that in the control group(P<0.05). The postoperative complications in the observation group were obviously less than that in the control group ( P <0.05 ) .The Barthel score in the observation group after 3 months of the treatment was better than that in the control group( P <0.05) .Conclusion The efficacy of the modified drainage technique for ventricular hemorrhage with hydrocephalus is good.It is worthy of clinical promotion.