微创引流术治疗脑外伤硬脑膜外血肿的效果及对患者术中出血量的影响评价

Effect of Minimally Invasive Drainage in the Treatment of Traumatic Epidural Hematoma and Its Effect on Intraoperative Blood Loss

目的探讨对脑外伤硬脑膜外血肿患者选择微创引流术治疗后获得的临床效果以及对术中出血量产生的影响。方法选择我院2017年7月至2019年3月收治的123例脑外伤硬脑膜外血肿患者作为实验对象;抽签法分组后探究每组采用的手术方法;比照组(61例):选择开颅手术方法展开手术治疗;实验组(62例):选择微创引流术方法展开手术治疗;对比两组患者手术用时、住院用时、颅内压水平、术中出血量以及术后并发症发生率。结果实验组脑外伤硬脑膜外血肿患者手术用时以及住院时长均短于比照组明显(P<0.05);手术前,实验组脑外伤硬脑膜外血肿患者颅内压水平同比照组比较差异不明显(P>0.05);手术后,实验组脑外伤硬脑膜外血肿患者颅内压水平低于比照组明显(P<0.05);实验组脑外伤硬脑膜外血肿患者术中出血量少于比照组明显(P<0.05)实验组脑外伤硬脑膜外血肿患者术后并发症发生率(3.23%)低于比照组(22.95%)明显(P<0.05)。结论脑外伤硬脑膜外血肿患者于临床接受微创引流术治疗后,对于手术用时以及住院时长的显著缩短,颅内压水平的明显降低,术中出血量以及术后并发症的显著减少,均获得确切效果,最终充分促进脑外伤硬脑膜外血肿患者的康复状态提升,并证明微创引流术应用可行性。

Objective To investigate the clinical effect of minimally invasive drainage on patients with traumatic epidural hematoma and its effect on intraoperative blood loss.Methods 123 patients with traumatic epidural hematoma admitted to our hospital from July 2017 to March 2019 were selected as experimental subjects.To explore the surgical methods adopted by each group after grouping by drawing lots;Comparison group(61 cases):craniotomy was selected for surgical treatment.Experimental group(62 cases):minimally invasive drainage was selected for surgical treatment.The operative time,hospitalization time,intracranial pressure level,intraoperative blood loss and postoperative complication rate were compared between the two groups.Results The operative time and length of hospitalization in the experimental group were significantly shorter than those in the comparison group(P<0.05).Before surgery,there was no significant difference in intracranial pressure between the experimental group and the comparison group(P>0.05).After the operation,the intracranial pressure level of patients with traumatic epidural hematoma in the experimental group was significantly lower than that in the comparison group(P<0.05).The intraoperative blood loss of patients with traumatic epidural hematoma in the experimental group was significantly lower than that in the comparison group(P<0.05).The postoperative complication rate of patients with traumatic epidural hematoma in the experimental group(3.23%)was significantly lower than that in the comparison group(22.95%)(P<0.05).Conclusion Epidural hematoma in patients with traumatic brain injury in clinical,after minimally invasive drainage treatment for long significantly shorten the operation time and hospitalization,significantly lower level of intracranial pressure,intraoperative blood loss and significantly reduce the postoperative complications,obtained the exact effect,finally fully promote epidural hematoma in patients with traumatic brain injury recovery,and minimally invasive drainage application feasibility is proved.