两种手术方法治疗慢性硬膜下血肿的疗效比较分析

Comparative analysis of the effects of two surgical methods on chronic subdural hematoma

目的回顾、观察比较两种手术方法治疗慢性硬膜下血肿的疗效。方法选取2012年3月至2018年10月本院收治的慢性硬膜下血肿患者26例(27例次),按手术方式的不同分为单孔组与双孔组,单孔组10例次,进行单孔钻孔引流术治疗,双孔钻17例次,进行双孔钻孔引流术治疗,比较两组手术时间、血肿复发率、感染率等。结果两组患者总有效率、术后并发症比较差异无统计学意义,单孔组手术时间低于双孔组(P<0.05)。结论单孔、双孔引流术均具有显著作用,但在治疗慢性硬膜下血肿时,运用单孔引流手术,更能够减少感染风险,缩短手术时间,患者耐受率更高,推广价值更高。

Objective To review and observe the efficacy of two surgical methods in treating chronic subdural hematoma. Methods 26 patients(27 cases) with chronic subdural hematoma from March 2012 to October 2018 were selected and divided into single-hole group and double-hole group according to different surgical methods, and 10 cases of single-hole group were performed with single holes In the treatment of drilling drainage, 17 cases of double hole drilling were performed, and the treatment time, hematoma recurrence rate and infection rate were compared between the two groups. Results There was no significant difference in the total effective rate and postoperative complications between the two groups. The operation time in the single-hole group was shorter than that in the double-hole group(P<0.05). Conclusion Both single-hole and double-hole drainage have significant effects, but in the treatment of chronic subdural hematoma, the use of single-hole drainage can reduce the risk of infection,shorten the operation time, increase the tolerance rate of patients, and promote the value of promotion.