探讨终板造瘘在前交通动脉瘤性蛛网膜下腔出血的临床应用

Clinical application of lamina terminalis fenestration in patients with subarachnoid hemorrhage from anterior communicating artery aneurysm

摘要:

目的 探讨终板造瘘在前交通动脉瘤性蛛网膜下腔出血患者中的临床应用。方法 回顾性分析我院2014年7月至2016年7月的51例前交通动脉瘤性蛛网膜下腔出血患者，按照术中是否行终板造瘘分为造瘘组和非造瘘组，比较两组在住院时间、GOS分数及慢性脑积水等方面存在的差异。结果 造瘘组和非造瘘组的脑积水发生率分别为8.3%和33.3%，差异具有统计学意义，造瘘组的住院时间为13.83±1.24（天）少于非造瘘组的15.39±1.90（天），造瘘组和非造瘘组的GOS评分分别为4.08±0.83分和3.30±0.82分，差异具有统计学意义，造瘘组的预后好于非造瘘组。结论 终板造瘘对前交通动脉瘤性蛛网膜下腔出血患者可以减少住院时间及慢性脑积水的发生，有助于提高患者的预后。

Abstract:

Objective To investigate the clinical application of lamina terminalis fenestration (LTF) in patients with subarachnoid hemorrhage from anterior communicating artery (ACoA) aneurysm.Methods A retrospective analysis was performed for the clinical data of 51 patients with subarachnoid hemorrhage from ACoA aneurysm who were hospitalized in our hospital from July 2014 to July 2016, and according to whether LTF was performed during surgery, these patients were divided into LTF group and non-LTF group. The two groups were compared in terms of length of hospital stay, Glasgow Outcome Scale (GOS) score, and chronic hydrocephalus.Results There was a significant difference in the incidence rate of hydrocephalus between the LTF group and the non-LTF group (8.3% vs 33.3%, P<0.05). The LTF group had a significantly shorter length of hospital stay than the non-LTF group (13.83±1.24 d vs 15.39±1.90 d, P<0.05). There was also a significant difference in the GOS score between the LTF group and the non-LTF group (4.08±0.83 vs 3.30±0.82, P<0.05).Conclusions In patients with subarachnoid hemorrhage from ACoA aneurysm, LTF can shorten the length of hospital stay, reduce the incidence rate of chronic hydrocephalus, and improve their prognosis.