两种手术方法治疗重症脑室铸型血肿的对照研究

目的 探讨重症脑室内铸型血肿两种手术方法的疗效.方法 回顾性分析65例经治重症脑室内铸型血肿患者临床资料,将其分为两组,A组(治疗组)33例,在脑室穿刺尿激酶灌注引流常规治疗的基础上,开颅清除四脑室铸型血肿;B组(对照组)32例予以脑室穿刺尿激酶灌注引流常规治疗.按格拉斯哥预后分级法(GOS)于6个月后对治疗结果进行评...

Controlled study of two operative ways for severe intraventricular casting mould hematoma

Objective To explore the effectiveness of 2 operative ways for severe casting mould intraventricular hematoma and look for the optimal method. Methods The clinical data of 65 patients were retrospectively analyzed. The patients were divided into A（treatment） and B（control） groups. In group A （n = 33） , hematoma evacuation of the fourth ventricle through craniotomy was performed in addition to ventricular drainage and infusion of urokinase, and in group B（ n = 32） , only ventricular drainage and infusion of urokinase were used. Results The 2 groups showed significant difference in clinical efficacy. Conclusions In the cases of severe casting mould intraventricular hematoma. It is paramount to remove the intraventrieular obstruction and promote the CSF flow as soon as possible, and thus improve cerebral microcirculation. Evacuation of the fourth ventricle hematoma in addition to concomitant ventricle drainage and urokinase infusion has significant efficacy in promoting patients＇ consciousness recover and improving the life quality.