摘要
目的探讨硬通道微创穿刺治疗慢性硬膜下血肿的临床效果。方法选取2017年6~12月我院收治的80例慢性硬膜下血肿患者作为研究对象,按照随机数字表法将其分为观察组和对照组,每组各40例。观察组患者采用硬通道微创穿刺治疗,对照组患者采用钻孔引流治疗。比较两组患者的手术时间、术后引流时间、住院时间、并发症发生和复发情况以及治疗效果。结果观察组患者的手术时间、术后引流时间和住院时间均短于对照组,并发症发生率和复发率均低于对照组,差异有统计学意义(P<0.05)。观察组患者的治愈率略高于对照组,但差异无统计学意义(P>0.05);两组患者的治疗总有效率比较,差异无统计学意义(P>0.05)。结论硬通道微创穿刺治疗慢性硬膜下血肿的效果与传统钻孔引流术相当,但是硬通道微创穿刺治疗可明显缩短手术时间、术后引流时间、住院时间,且术后并发症和复发率明显降低。
Objective To investigate the clinical effect of hard channel minimally invasive puncture in the treatment of chronic subdural hematoma.Methods A total of 80 cases of chronic subdural hematoma patients treated in our hospital from June to December 2017 were selected as study objects.All the patients were divided into the observation group and the control group according to the random number table method,with 40 cases in each group.The observation group was treated with hard channel minimally invasive puncture,and the control group was treated with drilled drainage.The operation time,postoperative drainage time,hospitalization time,complications,recurrence,and treatment effect were compared between the two groups.Results The operation time,postoperative drainage time and hospitalization time in the observation group were shorter than those in the control group,the complication rate and recurrence rate in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The cure rate of the observation group was slightly higher than that of the control group,but the difference was not statistically significant(P>0.05),and there was no significant difference in the total effective rate of treatment between the two groups(P>0.05).Conclusion The effect of hard channel minimally invasive puncture in the treatment of chronic subdural hematoma is equal to that of traditional drilled drainage,but hard channel minimally invasive puncture can significantly shorten the time of operation,postoperative drainage time and hospitalization time,and reduce the postoperative complications and recurrence rate.
作者
朱颂国
罗兴武
粱丽珍
王智勇
ZHU Song-guo;LUO Xing-wu;LIANG Li-zhen;WANG Zhi-yong(Department of Neurosurgery,People′s Hospital of Fogang County in Qingyuan City,Guangdong Province,Fogang 511600,China)
出处
《中国当代医药》
2019年第1期82-84,共3页
China Modern Medicine
基金
广东省清远市科技计划项目(技术开发类)(170801111720202)
关键词
硬通道微创穿刺
钻孔引流
慢性硬膜下血肿
Hard channel minimally invasive puncture
Drilled drainage
Chronic subdural hematoma