脑室外引流术联合立体定向血肿排空术治疗丘脑出血61例分析

摘要

Objective: To explore the early introduction of external ventricular drainage, stereotactic evacuation of hematoma in treatment of thalamic hemorrhage. Methods: 61 cases of hypertensive intraventricular type in patients with thalamic hemorrhage, according to the ventricle and intracerebral hematoma volume, select the appropriate individual minimally invasive operation: Stereotactic thalamic hematoma evacuation, lateral ventricle puncture drainage and continuous lumbar cistern drainage, to observe its clinical effect. Results:53 patients survived after operation, the survival rate was 86.9%. On postoperative survival of 53 patients with Barthel Index for ADL assessment:20 points in 2 cases, 20~40 4 cases, 40~60 12 cases, more than 60 points in 35 cases, Barthel index of more than 60 for basic living self-care, accounted for 66.04%. Conclusion:Mining and ventricle drainage, stereotactic evacuation of hematoma and postoperative continuous lumbar cistern drainage for treatment of thalamic hemorrhage, convenient, less trauma, can reduce the mortality and disability rate, and improve the quality of life.%　　目的：探讨早期采用脑室外引流术、立体定向血肿排空术治疗丘脑出血的效果。方法：对61例高血压脑室型丘脑出血患者,根据脑室及脑内血肿量,选择恰当的个体化微创手术：立体定向丘脑血肿排空、侧脑室穿刺引流术和腰大池持续外引流术,观察其临床效果。结果：术后存活53例,存活率为86.9%。对术后存活的53例患者采用barthel指数量表进行日常生活能力量表的评定：20分以下2例,20~40分4例,40~60分12例,60分以上35例,barthel指数60以上为生活基本自理,占66.04%。结论：采且侧脑室外引流、立体定向血肿排空术及术后持续腰大池引流术治疗丘脑出血,方便快捷,创伤小,能降低死亡率和致残率,可提高生存质量。