钻孔引流治疗慢性硬膜下血肿伴对侧硬膜下积液的临床研究

目的 观察双侧钻孔引流对慢性硬膜下血肿 (CSDH)伴对侧硬膜下积液 (SFC)的治疗作用。 方法 采用前瞻性随机单盲对照法 ,将 41例合格对象随机分硬膜下积液侧保守组 (A组 )和硬膜下积液钻孔组 (B)组。两组CSDH侧均行钻孔冲洗引流。 3月后随访 ,观察治愈率。 结果 A组较B组SFC侧的治愈率及其演变为CSDH的发生率差异均有非常显著性 ( p <0 .0 1) ,而CSDH侧的治愈率 ,差异则无显著性 ( p >0 .0 5 )。 结论 对CSDH伴对侧SFC患者 ,双侧同时行钻孔引流可显著提高其治愈率 。

Objective To observe the effect of the bilateral anvil drainage in the chronic subdural haematoma with opposite subdural fluid collestion. Methods 41 patients with one side of chronic subdural heamatoma with opposite subdural fluid collestion were divided randomly into two groups: A group which were not operated in the side of subdrual fluid collestion, and B group which were operated by anvil drainage in the same side. But all of 41 patient were operated by anvil drainage that drilled one hole or two in the side of chronic subdural haematoma. Results The curative rate of SFC and the rate developed to CSDH were significant difference between the two groups(P<0.01).But there was no significant difference of the curative rate of CSDH between the two groups(P>0.05). Conclusions The bilateral anvil drainage can improve curative effect of the patients with CSDH and opposite SFC, and can prevent CSDH resulted from SFC.