脑室外引流在前交通动脉瘤急诊手术中的临床应用疗效

摘要

目的 探讨前交通动脉瘤手术中放置脑室外引流对患者预后的临床疗效.方法 回顾性分析2013年至2015年在我院行前交通动脉瘤手术96例患者的临床资料,将2014年6月至2015年10月行脑室外引流治疗的48例患者归为观察组,将2013年1月至2014年5月未行脑室外流的48例患者归为对照组.术后随访6个月至2年,根据术后并发症分析及格拉斯哥预后评分(GOS)对2组治疗结果进行分级评定,同时根据KPS评分评价患者全身机能.结果 观察组患者治疗后并发症发生率为54.17％,低于对照组的86.96％,差异具有统计学意义(P＜0.05);观察组患者治愈率为79.16％,高于对照组的50.00％,差异具有统计学意义(P＜0.05);观察组患者术后KPS评分为(79.68±13.24)分,高于对照组的(62.57±12.72)分,差异均具有统计学意义(P＜0.05).结论 术中放置脑室外引流,可以将脑组织牵拉压迫损伤减轻至最低,有效降低颅内压力,缓解因脑水肿引起的颅内压高,减少手术并发症,改善患者预后,提高治愈率.%Objective To investigate the clinical effect of external ventricular drainage on the prognosis of anterior communicating artery aneurysms.Methods Retrospectively collected and analyzed 96 patients of anterior communicating artery aneurysms who were treated in our hospital from June 2013 to October 2015,and they were divided into the observation group which was given external ventricular drainage treatment and the control group which was not given external ventricular drainage treatment.These patients were followed up for 6 months to 2 years,and the results of the 2 groups were graded according to the analysis of postoperative complications and the Glasgow prognostic score (GOS).Meanwhile,evaluated the general function of the patients according to the KPS score.Results The the incidence rate of complications after treatment in observation group was 54.17％,which was lower than 86.96％ in the control group,and the difference was statistically significant(P ＜ 0.05).The cure rate of observation group was 79.16％,which was higher than 50％ in the control group,and the difference was statistically significant (P ＜ 0.05).The postoperative KPS score in the observation group was (79.68 ± 13.24) points,which was higher than (62.57 ± 12.72) points in the control group,and the differences were statistically significant (P ＜ 0.05).Conclusion External ventricular drainage can reduce the compression injury of the brain tissue to a minimum degree,reduce intracranial pressure,relieve cerebral edema caused by intracranial pressure,reduce complications,and improve the prognosis of patients and the cure rate.