摘要
目的:探讨早期腰大池置管控速引流对术后脑膨出的作用。方法:回顾性分析我院2005年3月～2010年5月收治入院的因重度颅脑损伤行开颅减压手术后5～20 d内,出现顽固性脑膨出,GCS评分3～9分的60例患者的临床资料。结果:观察组的疗程为(8.34±3.53)d,对照组的疗程为(18.34±5.63)d,两组比较差异有统计学意义(t=8.93,P<0.05)。观察组中在腰大池引流前有留管的24例,到行脑室腹腔分流术时只有6例(20.00%)留管;对照组患者中有留管的30例,到行脑室腹腔分流术前有23例(76.67%)留管,两组比较,差异有统计学意义(χ2=24.69,P<0.01)。观察组发生切口疝1例,对照组发生切口疝6例,两组比较,差异有统计学意义(χ2=4.68,P<0.05),两组患者预后比较,观察组术后1个月神经功能缺损程度评分、良好率和存活率与对照组比较差异明显(P<0.05和P<0.01)。结论:腰大池置管脑脊液持续性引流,是一种安全、有效的治疗颅脑损伤术后严重脑膨出的方法。
Objective：To investigate the early lumbar drainage catheter speed control on the role of postoperative brain swelling.Methods：A retrospective analysis of our hospital from March 2005 to May 2010 admitted to hospital of severe brain injury due to decompression craniotomy 5-20 days after surgery,intractable brain swelling,GCS score 3-9 points.Results：The treatment group was（8.34±3.53） d,the treatment for the control group（18.34±5.63） d,the difference between the two groups were significantly different（t=8.93,P0.05）.The observation group in the lumbar drainage in front of left tube in 24 cases,the line ventriculoperitoneal shunt with only 6 cases（20.00%） left tube;the control group in the left tube 30 cases to the line ventriculoperitoneal shunt before in 23 cases（76.67%） left tube,the difference was statistically significant（χ2=24.69,P0.01）.1 case of incisional hernia in the observation group,6 cases in the control group,incisional hernia.Between the two groups,the difference was statistically significant（χ2=4.68,P0.05）,the prognosis in the observation group at 1 month after neurological deficit scores,good and survival rate compared with the control group,the differences were significant（P0.05,P0.01）.Conclusion：Lumbar cerebrospinal fluid continuous drainage catheter is a safe,effective treatment for severe brain swelling after head injury method.
出处
《中国医药导报》
CAS
2011年第15期68-70,共3页
China Medical Herald
