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微创穿刺脑室外引流术联合早期腰大池引流术治疗脑室出血的疗效分析
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Journal Article
微创穿刺脑室外引流术联合早期腰大池引流术治疗脑室出血的疗效分析
2014
Overview
探讨微创穿刺脑室外引流术联合早期腰大池引流术对第三和第四脑室血肿清除的效果。共54例脑室出血患者分别施行微创穿刺脑室外引流术、脑室内尿激酶灌洗联合早期腰大池引流术（联合治疗组）或单纯微创穿刺脑室外引流术。对两组患者术后第三和第四脑室血肿清除率进行比较显示，术后3d时联合治疗组血肿清除率〉85％的患者占59．26％（16／27），高于对照组的22．22％（6／27；x^2=7．670，P=0．006）；术后2，3d联合治疗组第三和第四脑室血肿清除速度高于对照组（t=3．475，P=0．001）。术后3个月时联合治疗组治疗有效率为81．48％（22／27），高于对照组的55．56％（15／27；）（x^2=4．207，P=0．040）。提示微创穿刺脑室外引流术联合早期腰大池引流术能够加快第三和第四脑室血肿清除速度，改善脑室出血患者预后。
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