硬膜下探查减少急性硬膜外血肿患者术后硬膜下积液发生的作用

The role of subdural exploratory operation in reduction of postoperative subdural hygroma in acute epidural hematoma patients

目的探讨硬膜下探查在减少急性硬膜外血肿患者术后硬膜下积液中的作用。方法 2008年6月至2013年6月我科收治94例急性硬膜外血肿手术患者,其中单纯血肿清除术38例(单纯手术组),血肿清除术联合硬膜下探查56例(联合手术组),比较两组术后术区硬膜下积液以及积液形成占位效应的发生率。结果联合手术组患者术后术区硬膜下积液发生率低于单纯手术组,积液形成显著占位效应的发生率亦低于单纯手术组,差异有统计学意义(P<0.05)。结论对于急性硬膜外血肿患者,血肿清除术时予以硬膜下探查在一定程度上可减少术后硬膜下积液的发生,降低积液形成占位效应的发生率,操作简便,具有一定临床应用价值。

Objective To investigate the role of subdural exploratory operation in reduction of postoperative subdural hygroma in acute epidural hematoma patient.Methods Ninety-four acute epidural hematoma patients between Jun.2008 and Jun.2013 were retrospectively analyzed.They were divided into simple hematoma dissection group（simple operation group） and hematoma dissection combined with subdural exploratory operation group（combined operation group） according to different surgical methods.Incidences of postoperative subdural hygroma and seroma formation in these two groups were analyzed.Results Incidence of subdural hygroma in the combined operation group was lower than that in the simple operation group（P0.05）.Incidence of seroma formation in the combined operation group was also reduced when compared to the simple operation group（P〈0.05）.Conclusion Subdural exploratory operation could reduce the incidence of postoperative subdural hygroma and seroma formation.So the subdural exploratory operation,which is easy to operate,is considered to have certain value in clinical application.