The Safety And Efficacy Analysis Of Lumbar Drainage In Intraoperative And Postoperative Intracerebral Aneurysm Clip Occlusion

Objective To analysis the safety and treatment effect inintraoperative and postoperative intracerebral aneurysm clip occlusion，andexplore and discuss its application.Methods November2009to March2011underwent intracranialaneurysm intracerebral aneurysm clipping surgery148patients wereanalyzed retrospectively. According to the preoperative lumbar drainage,divided into the lumbar group and the non-lumbar group. The two groupsof prognosis and surgical complications (aneurysm rupture, brain retractionsyndrome, cerebral vasospasm, hydrocephalus and intracranial infection).Results Lumbar group lumbar puncture lumbar group aneurysmrupture was no significant difference (x~2=0.562, P=0.642); lumbar groupthan in the non-lumbar group less intraoperative aneurysm rupture occurs(x~2=5.409, P=0.024); lumbar group than in the non-lumbar group lessbrain retraction syndrome (x~2=4.334, P=0.037); lumbar group than in thenon-lumbar group less cerebral vasospasm (x~2=5.882, P=0.015"); lumbar group than in the non-the lumbar group less hydrocephalus (x~2=4.249, P=0.039); no significant difference in the incidence of intracranialinfection in patients of the two groups (x~2=0.607, P=0.436); lumbargroup than in the non-lumbar group using antibiotics less days (t=-2.566,P=0.012); the lumbar group a better prognosis than non-lumbar drainagegroup (P=0.030).Conclusion Lumbar drainage does not increase the risk of aneurysmrupture; intracranial aneurysm surgery can reduce the difficulty ofoperation, reduce the traction of brain tissue and reduce the risk ofintraoperative aneurysm rupture; postoperative effective prevention andmitigationcerebral vasospasm and hydrocephalus complications; proper useof funds, will not increase the risk of infection; effective diagnosis andtreatment of postoperative intracranial infection; ultimately improve patientoutcomes.