改良钻孔引流术与传统钻孔引流术治疗CSDH的临床疗效对比

Comparison of clinical effect of improved and traditional drilling drainage for chronic subdural hematoma

目的:观察改良钻孔引流术治疗慢性硬膜外血肿(CSDH)的临床疗效,探讨提高CSDH临床疗效的治疗方法。方法:选择诊断为CSDH患者92例,随机均分为传统组和改良组,传统组采用传统钻孔引流术治疗,改良组采用改良钻孔引流术治疗。比较两组患者临床疗效及术后并发症情况。结果:改良组术后并发症的发生及治疗1个月后临床疗效好于传统组,组间比较具有统计学意义(P<0.05)。结论:临床手术治疗CSDH时,应首选改良钻孔引流术治疗,此方法简单易行,术后并发症少,临床疗效确切。

Objective： To observe the clinical effect ofimproved drilling drainage in treatment of chronic subdural hematoma （CSDH） and discuss the best treatment in CSDH. Method： Collect 92 patients with CSDH,46 patients were divided into traditional group with traditional drilling drainage treatment; 46 patients were divided into improved group with improved drilling drainage treatment, then compare clinical effect after 1 month and complications after operation. Result： Improved group was better than traditional group in clinical effect after 1 month and complications after operation, there was a significant statistical significance （P〈0.05） in two groups. Conclusion： When we treat CSDH in surgery, we should use improved drilling drainage first for it was effective,safe,simple and with few complications.