微创引流术治疗脑外伤慢性硬膜下血肿的临床效果和并发症发生率影响分析

Minimally Invasive Drainage in The Treatment of Chronic Subdural Hematoma After Traumatic Brain Injury

目的探讨微创引流术治疗脑外伤慢性硬膜下血肿的临床效果,并分析其对并发症发生率的影响。方法选择我院82例脑外伤慢性硬膜下血肿患者,按照随机模式将其均计入对照组与观察组,对照组患者予以钻孔引流术方案,观察组予以微创引流术方案,观察对比所有患者的临床疗效及并发症的发生情况。结果所有患者于术后第5天经头颅CT复查,观察组血肿残留量、手术时间、住院时间,均高于对照组,且患者格拉斯哥昏迷指数(GCS)评分显著高于对照组(P<0.05);随访3个月后,所有患者硬膜下血肿临床症状均消除。在并发症方面,观察组并发症发生率仅为4.88%,明显低于对照组的26.83%(P<0.05)。结论与钻孔引流术法比较,在治疗脑外伤慢性硬膜下血肿采用微创引流术方案效果更显著,可降低术后并发症的发生率。

Objective To investigate the clinical effect of minimally invasive drainage in the treatment of chronic subdural hematoma after brain injury,and to analyze the influence of complications.Methods 82 cases of patients with chronic subdural hematoma of brain injury were treated in our hospital from April 2016 to April 2020.They were randomly divided into two groups,the control group and the observation group.The control group was treated with drilling and drainage,and the observation group was treated with minimally invasive drainage.The clinical efficacy and the incidence of complications of all patients were observed and compared.Results all patients were reexamined by cranial CT on the 5 th day after operation.The residual amount of hematoma,operation time and hospitalization time of the observation group were higher than those of the control group,and the Glasgow Coma index(GCS)score of the patients was significantly higher than that of the control group.After 3 months of follow-up,the clinical symptoms of subdural hematoma of all patients were eliminated.In terms of complications,the incidence of complications in the observation group was only 4.88%,which was significantly lower than 26.83% in the control group.Conclusion in the treatment of chronic subdural hematoma after brain injury,the effect of minimally invasive drainage is more significant than that of drilling drainage,which is helpful to prevent the increase of postoperative complications.