Emergency single drainage tube and dual target thalamic hematoma ventricular drainage surgery based on body surface marker localization for the treatment of thalamic hemorrhage breaking into the ventricle with hydrocephalus
10.3969/j.issn.1002-0152.2024.01.004
- VernacularTitle:基于体表标志定位急诊单引流管双靶点治疗丘脑出血破入脑室伴脑积水
- Author:
Baoming JIA
1
;
Jiankai ZHAO
;
Lizhen WANG
;
Xiguang ZHOU
;
Hongsha PEI
;
Yanli ZHANG
;
Guo-Qiang FENG
;
Hongbin KU
Author Information
1. 河北省邢台市第三医院神经外科(邢台 054000)
- Keywords:
Thalamic hemorrhage broke into ventricle;
Hydrocephalus;
Drainage;
Body surface markers;
Posi-tioning;
Single drainage tube with dual targets
- From:
Chinese Journal of Nervous and Mental Diseases
2024;50(1):23-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of emergency temporal body surface positioning for single drain dual-target thalamic hematoma ventricular drainage in the treatment of thalamic hemorrhage breaking into ventricle with hydrocephalus.Methods A retrospective analysis was conducted on 223 patients with thalamic hemorrhage breaking into the ventricles with hydrocephalus,including a study group of 115 cases who underwent emergency single drain dual-target thalamic hematoma ventricular drainage surgery with temporal body surface positioning,and a control group of 108 cases who underwent emergency ventricular drainage first and then underwent stereotactic thalamic hematoma drainage surgery after the condition stabilized.Compare the differences in postoperative complications and treatment outcomes between two groups of patients,and evaluate the application value of temporal surface positioning for single drain dual-target thalamic hematoma ventricular drainage surgery in the treatment of thalamic hemorrhage breaking into the ventricle with hydrocephalus.Results The postoperative rebleeding rates,hematoma clearance and death were 5.2％,87.5％±7.3％and 13.9％in the study group and 4.7％,90.2％±8.5％and 15.7％in control group,respectively.There was no significant difference between the two groups(P＞0.05).The tube time,postoperative intracranial infection,Shunt dependent hydrocephalus,effective treatment and favorable prognosis of and the control group were(75.5±18.4)h,3.5％,19.1％,53.9％and 51.3％in the study group and(130.8±22.9)h,13.9％,35.1％,38.7％and 38.0％,respectively.The difference between the two groups was statistically significant(P＜0.05).Conclusion Body surface landmark-guided emergency single drain dual-target thalamic hematoma ventricular drainage surgery for the treatment of thalamic hemorrhage breaking into the ventricle with hydrocephalus is safe and reliable,and can improve the patient's prognosis.
