微创脑室外引流术治疗39例脑室出血体会

微创脑室外引流术治疗39例脑室出血体会

杨平来;张源源;周立田;薛元峰;丁俊宏

【期刊名称】《临床神经外科杂志》 【年(卷),期】2015(000)005

【摘要】Objective To explore the curative effect of micro-invasive external

ventricular

drainage

treatment

for

intraventricular

hemorrhage .Methods The clinical data of 39 patients with ventricular hemorrhage were underwent micro-invasive external ventricular drainage surgery and postoperative treatment of infusion of urokinase in our hospital from September 2003 to October 2014 , were analyzed retrospectively and the surgical curative effect were summarized.Results Of 39 patients, 5 died after the surgery(12.8%),1 suffered from delayed hydrocephalus

and

underwent

ventriculoperitoneal

shunt

surgery .According to the activities of daily living score 3 monthes after the therapy,15 recovered well(38.5%),11 remained the abilities of daily living (28.2%),and 8 even lost basic abilities (20.5%).Conclusion For intraventricular hemorrhage,micro-invasive external ventricular drainage can be an easy-operative therapy with obvious curative effect ,low fatality rate and low disability rate .%目的：探讨微创脑室外引流术治疗脑室出血的疗效。方法回顾性分析溧水区人民医院神经外科于2003年9月至2014年10月采用微创穿刺行侧脑室外引流手术，术后尿激酶溶血引流治疗的39例脑室出血患者的临床资料，总结治疗效果。结果本组39例患者中，死亡