改良与传统钻孔引流术治疗慢性硬膜下血肿的疗效评价

Evaluation of the Efficacy of Improved and Conventional Drilling Drainage in Treatment of Chronic Subdural Hematoma

目的探讨改良钻孔引流术治疗慢性硬膜下血肿的临床疗效。方法选择2009年1月至2011年8月我院采用改良钻孔引流术治疗慢性硬膜下血肿的16例患者为改良组,另外选择2004年3月至2008年12月采用传统慢性硬膜性血肿钻孔引流术治疗的28例患者为对照组,比较两组在手术时间、术后颅内积气方面的差异。结果两组手术时间和术后颅内积气比较差异有统计学意义(P<0.01);所有患者术后随访3个月,复查头颅CT血肿均完全吸收。结论改良的慢性硬膜性血肿钻孔引流术具有疗效满意、手术时间短、术后并发症少的特点,是一种治疗慢性硬膜下血肿的良好方法。

Objective To investigate the improved burr hole irrigation and drainage（BHID）clinical efficacy for the treatment of chronic subdural hematoma.Methods 16 patients admitted to our hospital from January 2009 to August 2011 which received improved BHID as the treatment of chronic subdural hematoma were selected as the improvement group,another 28 cases from March 2004 to December 2008 receiving the conventional chronic subdural BHID were selected as the control group.Operative time and postoperative pneumocephalus of the two groups were compared.Results The difference in operative time and postoperative pneumocephalus of the two groups was statistically significant（P0.01）.All patients were followed up for 3 months,cranial CT hematoma was completely absorbed in all cases in the reexamination.Conclusion Improved chronic subdural hematoma BHID has a satisfactory outcome,shorter operative time,less postoperative complications,thus is a good treatment for chronic subdural hematoma.