中国医学创新2024，Vol.21Issue(29)：42-46,5.DOI:10.3969/j.issn.1674-4985.2024.29.010
神经内镜微创脑室血肿清除术联合脑室灌洗、外引流术治疗脑室出血铸型的效果分析
Effect Analysis of Neuroendoscopy Minimally Invasive Removal of Ventricle Hematoma Combined with Ventricle Lavage and External Drainage in Treatment of Ventricular Hemorrhage Casting
摘要
Abstract
Objective:To explore the effect of neuroendoscopy minimally invasive removal of ventricle hematoma combined with ventricular lavage and external drainage on the occurrence of delayed hematoma and prognosis in patients with ventricular hemorrhage casting.Method:The clinical data of 45 patients with ventricular hemorrhage casting admitted to the Department of Neurosurgery of Xinyu People's Hospital from January to December 2023 were retrospectively analyzed,and they were divided into group A(n=20)and group B(n=25)according to the operation type.Group A underwent traditional trepanation and drainage,and group B underwent neuroendoscopy minimally invasive removal of ventricle hematoma combined with ventricle lavage and external drainage.The surgical indexes,complications,Glasgow coma scale(GCS)score and prognosis were compared between the two groups.Result:The retention time of drainage tube and hospital stay in group B were shorter than those in group A,the clearance rate of hematoma was higher than that in group A,and the incidence of delayed hematoma was lower than that in group A(P<0.05).The incidence of postoperative rebleeding in group B was lower than that in group A(P<0.05),and there was no significant difference in the incidence of other complications between the two groups(P>0.05).The GCS score of group B was higher than that of group A on 1 d,3 d,1 week after operation(P<0.05).The good prognosis rate of group B was 68.00%,which was higher than 35.00%of group A(P<0.05).There was no significant difference in mortality between the two groups(P>0.05).Conclusion:Neuroendoscopy minimally invasive removal of ventricle hematoma combined with ventricular lavage and external drainage can effectively help to remove hematoma in patients with ventricular hemorrhage casting,reduce the incidence of delayed hematoma and complications,shorten the course of the disease and improve the prognosis.关键词
脑室出血/脑室铸型/神经内镜/脑室穿刺引流/血肿清除/术后迟发性血肿/预后Key words
Ventricular hemorrhage/Ventricle cast/Neuroendoscopy/Ventricle puncture drainage/Hematoma removal/Postoperative delayed hematoma/Prognosis引用本文复制引用
杨幸达,段剑,钟波,邹志斌,朱红,邹国荣,罗庆勇,胡友珠..神经内镜微创脑室血肿清除术联合脑室灌洗、外引流术治疗脑室出血铸型的效果分析[J].中国医学创新,2024,21(29):42-46,5.基金项目
江西省卫生健康委科技计划项目(SKJP220210002) （SKJP220210002）
新余市科技计划项目(20233090811) （20233090811）
