颅骨钻孔引流术治疗慢性硬膜下血肿的疗效和预后研究

Study on the curative effect and prognosis of skull drilling and drainage in patients with chronic subdural hematoma

目的:分析颅骨钻孔引流术治疗慢性硬膜下血肿(CSDH)患者的疗效及预后。方法:2015年1月-2018年12月收治CSDH患者66例,根据治疗方式不同分为两组。对照组采用单孔钻孔引流治疗;试验组采用双孔钻孔引流治疗。比较两组治疗效果及预后情况。结果:试验组痊愈率高于对照组(P<0.05)。试验组颅内积气发生率及血肿复发率均明显低于对照组(P<0.05)。结论:对CSDH患者进行颅骨双孔钻孔引流术治疗的效果显著,预后效果较好。

Objective:To analyze the curativeeffect and prognosis of patients with chronic subdural hematoma(CSDH)by skull drilling and drainage.Methods:From January 2015 to December 2018,66 cases of CSDH patients were enrolled,they were divided into two groups according to different treatment methods.The control group was treated with single-hole drilling and drainage.The experimental group was treated with double-hole drilling and drainage.The therapeutic effects and prognosis between the two groups were compared.Results:The recovery rate of the experimental group was higher than that of the control group(P<0.05).The incidence rate of intracranial gas accumulation and the recurrence rate of hematoma in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion:The treatment of CSDH patients with double-hole drilling and drainage is effective and the prognosis is better.