创伤性急性颞部硬脑膜外血肿行开颅血肿清除不同手术时间的临床观察

Clinical observation of craniotomy hematoma removal surgery's curative effect on acute temporal traumatic epidural hematomadifferent time

目的观察急性颞部硬脑膜创伤在1h内和4h内行开颅血肿清除术的临床疗效。方法回顾性分析于2008年3月～2011年3月我院救治的急性颞部硬膜外创伤形成血肿的患者,作为研究对象。根据病程记录选择1h内手术组43例和4h内手术组45例。比较两组患者的术前GCS评分及预后情况,综合以上指标判断不同手术时机的临床疗效。结果两组患者入院时的GCS评分差异无统计学意义(P﹥0.05)。两组患者在出院时进行Glasgow预后评分(GOS),显示两组差异有统计学意义(P﹤0.05)。结论 1h内手术组的疗效优于4h内手术组,可以看出早期手术与良好预后相关,值得临床进一步推广研究。

Objective To observe craniotomy hematoma removal surgery＇s curative effect on acute temporal traumatic epidural hematoma at 1h and 4h.Methods Retrospectively analyzed these acute temporal traumatic epidural hematoma patients who have been treated at our hospital from March 2008 to March 2011,chose them as study objectives.Divided them into one hour surgery group（43 cases） and four hour surgery group（45 cases） according to progress note.Compared these two groups＇ patients＇ preoperative GCS scores and prognosis conditions,and judged different operation time＇s clinical curative effects on the basis of above indexes.Results There were no significant difference between these two groups＇ patients＇ GCS scores when they came into the hospital,P0.05,it did not have statistics meaning.And there were obvious difference between these two groups＇ patients＇ Glasgow prognosis scores,P0.05,it has statistics meaning.Conclusion One hour surgery group＇s curative effect was better than four hour surgery group＇s,we can conclude that early surgery is related to better prognosis conditions,it is worthy of further clinical study.