CAJ | 학술논문

目的：观察小骨窗开颅经额叶入路脑室内血肿清除术治疗侧脑室出血并铸型的效果。方法将90例侧脑室内出血并铸型的患者随机分为2组，观察组45例行小骨窗开颅经额入路脑室内血肿清除术，对照组45例行单纯侧脑室外引流术。术后随访3～6个月，按照格拉斯哥预后评分（ GOS）评价2组临床疗效。结果观察组脑室内引流管留置时间及住院时间均明显短于对照组（P均＜0．05）。观察组恢复良好率明显高于对照组（P均＜0.05），病死率及颅内感染、脑脊液漏发生率明显低于对照组（P均＜0．05）。结论小骨窗开颅经额入路脑室内血肿清除术治疗脑室出血并铸型疗效明显优于单纯侧脑室外引流术。
목적：관찰소골창개로경액협입로뇌실내혈종청제술치료측뇌실출혈병주형적효과。방법장90례측뇌실내출혈병주형적환자수궤분위2조，관찰조45례행소골창개로경액입로뇌실내혈종청제술，대조조45례행단순측뇌실외인류술。술후수방3～6개월，안조격랍사가예후평분（ GOS）평개2조림상료효。결과관찰조뇌실내인류관류치시간급주원시간균명현단우대조조（P균＜0．05）。관찰조회복량호솔명현고우대조조（P균＜0.05），병사솔급로내감염、뇌척액루발생솔명현저우대조조（P균＜0．05）。결론소골창개로경액입로뇌실내혈종청제술치료뇌실출혈병주형료효명현우우단순측뇌실외인류술。
Objective It is to observe the effect of surgical method of microsurgery through frontal lobe small bone window craniotomy approach on intraventricular hematoma and interventricular hemorrhage cast .Methods 90 patients with intravent-ricular hematoma and interventricular hemorrhage cast were randomly divided into 2 groups.The group (45cases) using the method of microsurgery treatment through frontal lobe small bone window approach was treated as observation group while the group (45 cases)using the method of simply external ventricular drainage approach was treated as control group .The curative effects were compared 3-6 months postoperatively according Glasgow outcome score .Results The retention time of intravent-ricular tube and hospitalization time in observation group were obviously shorter than that in control group (P<0.05).The good recovery rate in observation group was obviously higher than that in control group (P<0.05).The death rate, and oc-currence rates of intracranial infection and cerebrospinal fluid leak in observation group were obviously lower than that in con -trol group(P all<0.05).The differences were statistical significance (P<0.05).Conclusion The surgical method of micro-surgery through frontal lobe small bone window craniotomy approach on intraventricular hematoma and interventricular hemor -rhage cast is obviously better than that through simply external ventricular drainage approach .