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目的比较经胼胝体-侧脑室手术入路与脑室钻孔置管引流术治疗重度原发性脑室出血患者的疗效。方法随机将42例重度原发性脑室出血患者分成经胼胝体-侧服室入路治疗组和脑室钻孔置管引流术治疗组,经胼胝体-侧脑室入路治疗组20例,在显微镜下经胼胝体-侧脑室入路行血肿清除术;脑室钻孔置管引流术治疗组行脑室钻孔置管引流术。结果经胼胝体-侧脑室入路治疗组疗效良好率、病死率、脑室血肿清除率、意识障碍恢复时间及引流管留置时间与脑室钻孔置管引流术治疗组比较,差异有显著性(P<0.05)。结论经胼胝体-侧脑室入路治疗效果较好,适合于重度原发性脑室出血的治疗。
Objective To compare the efficacy of transcallosal-lateral ventriculo-operative approach and ventricular catheterization in the treatment of patients with severe primary intraventricular hemorrhage. Methods Forty-two patients with severe primary ventricular hemorrhage were randomly divided into treatment group with transcatheter body-side clothing approach and ventricular catheterization and drainage group. Twenty patients were treated by the corpus callosum-lateral ventricle approach. Under the microscope, The corpus callosum - lateral ventricle hematoma removal; catheter ventricular drainage catheter drainage group ventricle catheter drainage. Results The results showed that there was a significant difference between the treatment group and the control group (P <0.01). The effective rate, mortality, clearance rate of ventricular hematoma, recovery time of consciousness and drainage catheter indwelling time were significantly different between the treatment group and the control group (P < 0.05). Conclusion The treatment of the corpus callosum - lateral ventricle better results, suitable for the treatment of severe primary intraventricular hemorrhage.