儿童外伤性急性硬膜外血肿的治疗体会

Treatment experience of children traumatic acute epidural hematoma

目的探讨治疗儿童外伤性急性硬膜外血肿的有效方法。方法 60例外伤性急性硬膜外血肿患儿,按手术方式的不同分为微创组(32例)和常规组(28例)。微创组行微创穿刺引流术治疗,常规组行常规皮瓣开颅术治疗。比较两组的治疗效果。结果两组临床治疗总有效率比较差异无统计学意义(P>0.05),微创组患儿术后24、48 h疼痛评分(面部表情评分法)均低于常规组(P<0.05),术后住院时间短于常规组(P<0.05)。结论微创穿刺引流术和常规皮瓣开颅术治疗儿童外伤性急性硬膜外血肿均可获得良好疗效,且微创穿刺引流术的安全性更高。

ObjectiveTo investigate effective treatment for children traumatic acute epidural hematoma. MethodsA total of 60 children with traumatic acute epidural hematoma were divided by different surgery way into minimally invasive group （32 cases） and conventional group （28 cases）. The minimally invasive group received minimally invasive puncture drainage, and the conventional group received flap craniotomy. Curative effects of the two groups were compared.ResultsThere was no statistically significant difference of total effective rate between the two groups （P＆gt;0.05）. The minimally invasive group had lower postoperative 24 and 48 h pain score （faces rating scales） （P〈0.05） and shorter hospital stay time than the conventional group （P〈0.05）.Conclusion Minimally invasive puncture drainage and flap craniotomy can both provide good effect in treating children traumatic acute epidural hematoma, and the former contains higher safety.