钻孔引流术与钻孔微创穿刺术治疗慢性硬膜下血肿对比分析

Comparation study of drilling drainage and drilling of minimally invasive puncture in the treatment of chronic subdural hematoma

目的观察钻孔引流术与钻孔微创穿刺术在慢性硬膜下血肿临床治疗中的效果及安全性。方法将收治的98例慢性硬膜下血肿患者随机分为对照组和观察组,分别采用钻孔引流术与钻孔微创穿刺术治疗,比较两组患者的治疗总有效率,手术时间、术后恢复时间等手术指标改善情况以及随访并发症发生情况。结果治疗后观察组总有效率达85.71%,显著高于对照组的69.39%(P<0.05);观察组患者的手术时间、术后恢复时间短于对照组,差异有统计学意义(P<0.05);观察组患者术中出血量、术后残液量少于对照组(P<0.05);观察组不良反应发生率显著低于对照组(P<0.05)。结论采用钻孔微创穿刺术治疗慢性硬膜下血肿临床效果显著,安全性高,值得临床推广应用。

Objective To observe the clinical effect and safety of drilling drainage and drilling minimally invasive procedure in the treatment of chronic subdural hematoma. Methods Ninety-eight cases of chronic subdural hematoma patients were randomly divided into control group and observation group, drilling drainage treatment was used in the control group, while drilling minimally invasive puncture treatment was used in the observation group. The total effective rate, operation time, postoperative recovery time and other operation index, follow-up complications were observed between the two groups. Results After treatment, the total effective rate of the observation group was 85.71%, which was significantly higher than 69.39% of the control group （P〈0.05）; the operation time, postoperative recovery time of the observation group were shorter than those of the control group （P〈0.05）; the intraoperative blood loss, postoperative residual fluid amount of the observation group were less than those of the control group （P〈0.05）; the incidence rate of adverse reactions of the observation group was significantly lower than that of the control group （P〈0.05）. Conclusion The clinical effect of minimally invasive puncture on chronic subdural hematoma is remarkable, with high security, which is worthy of clinical application.