原发性脑室出血伴脑室铸型的微创治疗(1)
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摘要：目的探讨采取微创的方法治疗原发性脑室出血伴脑室铸型的疗效。方法选用脑室镜微创治疗原发性脑室出血伴铸型27例，术后48~72h拔除脑室引流管，行腰大池置管引流。随机选择同类疾病26例经额叶皮层造瘘清除脑室血肿，脑室置管辅助尿激酶引流作为对照组。结果脑室镜组手术时间明显短于对照组，血肿清除率和预后脑室镜组明显优于对照组。结论采取脑室镜下清除脑室内出血伴铸型，具有创伤小，时间短，血肿清除率高，可变换角度直视下操作迅速疏通脑脊液循环，术后疗效确切。
关键词：原发性脑室出血；脑室镜；腰大池引流
The Minimally Invasive Treatment of Primary Intraventricular Hemorrhage Accompanied with Casting
MA Tao,LIU Jia-chuan,ZHANG Yong-ming,SHU Long-fei
(Department of Neurosurgery,The 105th Hospital of PLA,Hefei 230031,Anhui,China)
Abstract：ObjectiveTo explore the effect of the minimally invasive method treating the primary intraventricular hemorrhage accompanied with casting. Methods27 patients of primary intraventricular hemorrhage accompanied with casting were treated with ventricle mirror， removing ventricular drainage tube after 48~72h, and puncturing lumbar catheter drainage; 26 patients treat with cortex ostomy to clear intraventricular hematoma ......
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