微创钻孔引流术治疗自发性幕上脑出血的疗效探讨

Discussion on the curative effect of minimally invasive drilling and drai nage for spontaneous supratentorial cerebral hemorrhage

目的:探讨用微创钻孔引流术治疗自发性幕上脑出血的临床疗效。方法:选取2013年6月至2019年6月北京中医医院平谷医院收治的自发性幕上脑出血患者60例作为研究对象。根据手术方式的不同将其分为微创组和开颅组。为微创组患者采用微创钻孔引流术进行治疗,为开颅组患者采用开颅血肿清除术进行治疗。然后比较两组患者的手术指标、术后住院的时间和术后并发症的发生情况。结果:微创组患者手术的时间、切口的长度均短于开颅组患者,其术中的出血量少于开颅组患者,P<0.05。两组患者术后24 h的血肿清除率相比,P>0.05。微创组患者术后住院的时间短于开颅组患者,其术后并发症的发生率低于开颅组患者,P<0.05。结论:用微创钻孔引流术治疗自发性幕上脑出血的效果较好,具有创伤小、患者术后并发症的发生率低、术后恢复快等优点。

Objective:To investigate the clinical efficacy of minimally invasive drilling and drainage in the treatment of spontaneous supratentorial cerebral hemorrhage.Methods:60 cases of spontaneous supratentorial cerebral hemorrhage admitted to Pinggu Hospital of Beijing Hospital of Traditional Chinese Medicine from June 2013 to June 2019 were selected as the research objects.They were divided into minimally invasive group and craniotomy group according to different surgical methods.Patients in the minimally invasive group were treated with minimally invasive borehole drainage,and patients in the craniotomy group were treated with craniotomy hematoma removal.Then the operative indicators,postoperative hospital stay and postoperative complications were compared between the two groups.Results:The operative time and incision length of the minimally invasive group were shorter than those of the craniotomy group,and the intraoperative blood los s was less than that of the craniotomy group(P<0.05).Compared with P>0.05,the hematoma clearance rate was 24 h after operation.The duration of postoperative hospitalization in the minimally invasive group was shorter than that in the craniotomy group,and the incidence of postoperative complications was lower than that in the craniotomy group(P<0.05).Conclusion:Minimally invasive drilling and drainage is effective in the treatment of spontaneous supratentorial cerebral hemorrhage,which has the advantages of less trauma,lower incidence of postoperative complications and faster postoperative recovery.