颅骨钻孔与传统开颅手术治疗硬膜外血肿疗效对比分析

Comparison of the efficacy of the burr hole operation with conventional craniotomy treating epidural hematoma

目的对颅骨钻孔与传统开颅手术治疗硬膜外血肿的临床效果进行对比分析。方法回顾性分析2013年1月-2014年9月来我院就诊的硬膜外血肿患者155例,分为两组,研究组78例,采用颅骨钻孔术及尿激酶引流治疗,对照组77例,采用传统开颅手术治疗,比较两组术中、术后各指标及并发症发生率。结果研究组术中出血量明显少于对照组,手术时间、住院时间均明显短于对照组,差异有统计学意义（P〈0.05）。研究组并发症总发生率（15.38%）与对照组（36.36%）比较差异无统计学意义（P〉0.05）,感染、术后头痛、再出血、脑脊液漏等各种并发症发生率与对照组比较差异均无统计学意义（P〉0.05）。结论颅骨钻孔手术治疗硬膜外血肿可明显减少术中出血量,缩短手术时间及住院时间,效果明显优于传统开颅手术。

Objective To compare the efficacy of the burr hole operation with conventional craniotomy treating epidural hematoma. Methods 155 cases with epidural hematoma selected from Jan 2013 to Sep 2014 in our hospital were retrospec-tively analyzed. All of them were divided into two groups , the study group inclued 78 cases used urokinase burr hole drainage treatment, the control group included 77 cases used the traditional craniotomy. The incidence of complications were compared. Results The blood loss of the study group was significantly less than the control group. The operative time , the hospital stay time were significantly shorter than the control group, the difference was significant （P〈0.05）. The total complication rate of the study group（15.38%） compared with the control group （36.36%） showed no significant difference （P〉0.05）. There was no sig-nificant difference in the complication rate of infection, postoperative headache, bleeding, cerebrospinal fluid leakage between two groups （P〉0.05）. Conclusion Burr hole surgery treating epidural hematoma can significantly reduce blood loss, shorter operative time and hospital stay and is better than the traditional craniotomy.