慢性硬膜下血肿钻孔冲洗引流术疗效分析

Efficacy analysis of chronic subdural hematoma drilling flushing drainage

目的对我科收治的150例慢性硬膜下血肿(CSDH)患者的临床资料进行回顾性分析,对比不同治疗方案的疗效以期得出最有效的治疗方法。方法将病例分为两大组:A组即手术组110例,B组非手术治疗组40例。其中A组又分为A1组(钻单孔冲洗引流组)65例和A2组(钻双孔冲洗引流组)45例,对A组与B组、A1组与A2组有效率及A组与B组有效病例复发率进行比较,采用SPSS 17.0进行χ2检验。结果 A组有效率明显高于B组(P<0.01),A1组与A2组有效率差异无统计学意义(P>0.05),A组有效病例复发率明显低于B组(P<0.01);A组出现术后并发症12例,颅内积气11例及癫痫1例,无颅内血肿和伤口及颅内感染发生。结论钻孔冲洗引流术有效率高、复发率低、并发症少,是CSDH首选治疗方法。

Objective By retrospective analysis of clinical data of our department treated 150 cases of chronic subdural hematoma （CSDH） and comparing the efficacy of different treatment options in order to arrive at the most effective treatment method. Methods The cases were divided into two large groups： A group including the surgical treatment of 110 cases; B group of non-surgical treatment of 40 cases. Where A group was divided into A1 group and A2 group： the A1 group drilled single hole drainage for 65 cases. A2 group drilled two holes 45 cases of irrigation and drainage. Efficiency comparison between A group and B group, and A1 group and A2 group were done and compared the effective cases recurrence rate of the group A and group B using SPSS 17.0 by X^2 test. Results Efficiency of A group was significantly higher than that in B group （P 〈 0.01）; the A1 group and A2 group was no significant difference （P 〉 0.05）; the effective cases recurrence rate of A group was significantly lower than that in B group （P 〈 0.01）; 12 patients of A group had postoperative complications, 11 cases of them were prteum09ephalus and one ease of them was epilepsy. There was no occurrence of intracranial hemat0ma and wound and intraeranial infection. Conclusion Drilling flushing drainage has high efficiency and low recurrence rate and fewer complications, so it is the preferred method of treatment of CSDH.