改良式双孔锥颅置管引流术治疗慢性硬膜下血肿疗效分析

Curative Effect Analysis of Modified Double Hole Drilling Skull Drainage for the Treatment of Chronic Subdural Hematoma

目的:探讨改良式双孔锥颅置管引流术治疗慢性硬膜下血肿的临床疗效。方法:选择笔者所在医院2013年3月-2015年4月收治的90例慢性硬膜下血肿患者为研究对象,根据入院编号将所选患者随机分为观察组与对照组,每组45例。观察组应用改良式双孔锥颅置管引流治疗,对照组应用传统式引流治疗,比较两组治疗效果。结果:观察组的总有效率高于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05);观察组术后第2、7天颅内压明显低于对照组,差异有统计学意义(P<0.05)。结论:采用改良式双孔锥颅置管引流术治疗慢性硬膜下血肿能提高治疗效果。

Objective： To investigate the clinical curative effect of modified double hole drilling skull drainage for the treatment of chronic subdural hematoma.Method： A total of 90 patients with chronic subdural hematoma in our hospital from March 2013 to April 2015 were selected as the research objects,according to the admission number they were randomly divided into observation group and control group, with 45 cases in each group.The observation group was given modified double hole drilling skull drainage, the control group was given traditional cone cranial catheter drainage.The treatment effect was compared between the two groups.Result： The total effective rate of the observation group was higher than that of the control group, the incidence rate of complications of the observation group was lower than that of the control group,the differences were statistically significant（P〈0.05）.The intraeranial pressure of postoperative 2, 7 days of the observation group were lower than those of the control group, the differences were statistically significant（P〈0.05）.Conclusion： Modified double hole drilling skull drainage can improve the therapeutic effect.