枕大池切开引流对侧脑室外引流治疗小脑出血破入脑室的影响

摘要

Objective:To explore incision and drainage of the cisterna magna influencing the cathetering time of lateral ventricle drainage, in the treatment of hypertensive cerebellar hemorrhage breaking into ventricle.Method:10 patients with hypertensive cerebellar hemorrhage breaking into ventricle who were received and cured in our hospital and People’s Hospital of Dongguan from July 2014 to January 2015, received posterior fossa craniotomy evacuation of hematoma while using incision and drainage of the cisterna magna (treatment group), and infused lateral ventricle and cisterna magna with urokinase postoperatively, recorded the cathetering time of lateral ventricle drainage; the original patients with posterior fossa craniotomy hematoma removal of foramen magnum decompression and lateral ventricle drainage were selected as control cases (control group).Result:The mean catheterization time of lateral ventricle drainage was (4.00±2.49)d, in treatment group, while (7.30±2.00)d in control group, The difference had statistical significance (t=3.270,P<0.05).Conclusion:Cisterna incision drainage shorten the mean catheterization time of lateral ventricle drainage in the treatment of hypertensive cerebellar hemorrhage breaking into ventricle, so reducing the infection rate of intracranial, and improving the curative effect.%目的：探讨枕大池切开引流对高血压病小脑出血破入脑室治疗中侧脑室外引流置管时间的影响。方法：选取2014年7月-2015年1月本院及东莞市人民医院自收治的高血压病小脑出血破入脑室的患者10例，行后颅窝开颅血肿清除术，术中同时采用枕大池切开引流（治疗组），术后行侧脑室及枕大池尿激酶灌洗，记录侧脑室外引流置管时间；并选择原有行后颅窝开颅血肿清除寰枕减压术及侧脑室外引流术的患者为对照病例（对照组），比较两组观察指标的差异。结果：治疗组侧脑室外引流平均置管时间为（4.00±2.49）d，对照组为（7.30±2.00）d，两组比较差异有统计学意义（t=3.270，P<0.05）。且治疗组未出现颅内感染。结论：枕大池切开引流可缩短高血压病小脑出血破入脑室治疗中侧脑室外引流平均置管时间，降低颅内感染率，提高疗效。