【摘要】 目的探讨连续终池引流治疗良性颅内高压所致顽固性头痛的临床效果。方法将60例良性颅内高压所致的头痛病例,随机分为两组,A组(研究组)常规内科治疗3日后应用连续终池引流治疗。模拟硬脊膜外麻醉L3-4或L4-5正人法穿刺进针,先确认硬膜外间隙后,继续进针到蛛网膜下腔,再置管于蛛网膜下腔终池内,低位引流200-400ml/24h,并记录治疗后(视觉模拟评分法)VAS值。结果研究组、对照组,在治疗前颅内压等差异无显著性;终池引流治疗后,研究组与对照组比较,颅内压由治疗前的(2.28±0.22)mmHg下降到(1.8±0.20)mmHg.而对照组几无变化,头痛症状减半时间、头痛治愈时间均优于对照组(P<0.01)。结论对良性颅内高压所致的顽固性头痛应用连续终池引流方法治疗效果良好。更多还原

【Abstract】 Objective To observe the clinical efficacy of continuous terminal cistern drainage in treatment of refractory headache induced by benign intracranial hypertension. Methods Sixty patients with refractory headache were randomly divided into two groups. Group A (experimental group) were treated with continuous terminal cistern drainage after routine medicine for 3 days, and a catheter was put into sub-arachnoid space through L3-4 or L4-5 with continuous drainage at the rate of 200-400 ml/24h. Group B (control group) were treated with routine medicine. VAS and intracranial pressure were recorded. Results Intracranial pressure was decreased from 2.28±0.22 mmHg before drainage to 1.8±0.20 mmHg after drainage in group A, but no significant change in group B. The efficacy of pain relief in group A were significantly better than that in group B (P < 0.01). Conclusion continuous terminal cistern drainage has better effects for refractory headache with benign intracranial hypertension.更多还原