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目的:探讨软通道单管抽吸液化引流术治疗丘脑出血破入脑室的疗效与双管抽吸流化引流术疗效的比较。方法:198例,丘脑出血破入脑室患者分为2组:单管组98例,治疗时间为6～72小时,靶点设在血肿最大层面中心点,根据冲洗情况随时调整流置管深度以清除丘脑血肿及脑室血液;双管组88例;12例拒绝置管治疗的患者,按脑出血常规保守疗法治疗,分别于入院后2周、4周时按统一标准进行神经功能缺损评分并与拒绝置管治疗的12例患者进行比较。结果:单管组总有效率84.69%,病死率10.20%;双管组总有效率85.23%,病死率10.22%;保守组总有效率24%,病死率75%。结论:软通道单管抽吸液化引流术是治疗丘脑出血破入室较合适的方法,疗效良好。
Objective: To investigate the curative effect of soft-channel single-tube suction drainage and drainage for the treatment of thalamic hemorrhage penetrating the ventricle compared with double-pipe suction fluidization drainage. Methods: A total of 198 patients with thalamic hemorrhage penetrating into the ventricles were divided into two groups: 98 patients in single-tube group, with the treatment time ranging from 6 to 72 hours. The target was located at the maximal level of hematoma. The depth of flow tube was adjusted according to the condition of irrigation 88 cases of double-tube group and 12 cases of patients who refused catheterization were treated by conventional conservative treatment of cerebral hemorrhage. Neurological deficit scores were calculated according to uniform standards at 2 weeks and 4 weeks after admission, respectively. Twelve patients who refused catheterization were compared. Results: The total effective rate of single tube group was 84.69%, the case fatality rate was 10.20%. The total effective rate of double tube group was 85.23% and the case fatality rate was 10.22%. The total effective rate was 24% and the mortality rate was 75% in the conservative group. Conclusion: Soft-channel single-tube suction drainage drainage is a suitable method for the treatment of thalamic hemorrhage and rupture into the room, with good curative effect.