YL-1型微创针引流术与微创钻孔引流术治疗慢性硬膜下血肿的疗效比较

Comparison of YL-1 minimally invasive needle drainage and minimally invasive drilling drainage in the treatment of chronic subdural hematoma

目的:探讨YL-1型微创针引流术与微创钻孔引流术治疗慢性硬膜下血肿(CSDH)的疗效。方法:根据手术方案不同,120例CSDH患者分为两组,微创钻孔组60例,采用微创钻孔引流术治疗;微创针组60例,采用YL-1型微创针引流术治疗。观察两组临床效果。结果:微创针组手术切口长度小于微创钻孔组,手术、脑膨胀、术后拔管、住院等时间短于微创钻孔组,差异具统计学意义(P<0.05)。微创针组的治疗总有效率为98.3%,高于微创钻孔组的85.0%,并发症总发生率为5.0%,低于微创钻孔组的16.7%,差异均有统计学意义(P<0.05)。结论:YL-1型微创针引流术治疗CSDH患者的治疗效果优于微创钻孔引流术。

Objective: To investigate the effect of YL-1 minimally invasive needle drainage and minimally invasive drilling drainage in the treatment of chronic subdural hematoma(CSDH). Methods: According to the different operation plan, 120 CSDH patients were divided into two groups, the minimally invasive drilling group and the minimally invasive needle group, 60 cases in each group, which were treated by minimally invasive drilling drainage and YL-1 minimally invasive needle drainage respectively. Observe the clinical effect of the two groups. Results: The incision length of minimally invasive needle group was shorter than that of minimally invasive drilling group, and the time of operation, brain expansion, extubation and hospitalization was shorter than that of minimally invasive drilling group(P<0.05). The total effective rate of minimally invasive needle group was 98.3%, higher than 85.0% of minimally invasive drilling group, the total incidence of complications was 5.0%, lower than 16.7% of minimally invasive drilling group, the differences were statistically significant(P<0.05). Conclusion: YL-1 minimally invasive needle drainage is better than minimally invasive drilling drainage in the treatment of CSDH.