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目的探讨巨大型脑肿瘤术后近期出血和出血后继发性脑损害的预防方法。方法先后对巨大型幕上、幕下脑肿瘤 60例予以手术切除 ,将其分为瘤腔常规导管引流和自制球囊导管引流两组。分时段复查 CT,比较两组出血情况和临床疗效。结果自制球囊导管组术后出血 2例 ( 7.1% ) ,常规引流组 7例 ( 2 5 .8% ) ;自制球囊导管组无死亡 ,常规引流组死亡 3例。结论球囊导管在巨大型脑肿瘤术中的应用 ,对减少术后出血和减轻脑出血性损害具有良好的预防作用。
Objective To investigate the prevention of secondary brain damage after massive hemorrhage and hemorrhage in giant brain tumors. Methods A total of 60 cases of giant supratentorial and supratentorial brain tumors were surgically excised and divided into two groups according to conventional catheter drainage and homemade balloon catheter drainage. Sub-period review of CT, bleeding and clinical efficacy of two groups were compared. Results Postoperative bleeding was found in 2 cases (7.1%) in the homemade balloon catheter group and in 7 cases (25.8%) in the conventional drainage group. There was no death in the homemade balloon catheter group and 3 cases in the conventional drainage group. Conclusion The application of balloon catheter in huge brain tumor surgery has a good preventive effect on reducing postoperative bleeding and reducing cerebral hemorrhagic damage.