高风险因素的复杂CSDH患者应用神经内镜辅助手术治疗的临床观察

Clinical Observation of Neuroendoscopy Assisted Surgery in the Treatment of Complex CSDH Patients with High Risk Factors

目的:分析高风险因素的复杂慢性硬膜下血肿(CSDH)患者应用神经内镜辅助手术的临床效果。方法:回顾性分析2018年1月-2020年1月本院收治的高风险因素的复杂慢性硬膜下血肿60例患者的临床资料,按照治疗方法将其分为A组和B组,每组30例。A组采用常规钻孔引流术治疗,B组采用神经内镜辅助钻孔引流术治疗。比较两组术后效果、预后及并发症发生情况。结果:B组血肿清除率高于A组,复发率低于A组,卧床时间、住院时间均短于A组,差异均有统计学意义(P<0.05)。B组预后良好率为93.33%高于A组的66.67%,差异有统计学意义(P<0.05)。B组并发症发生率为6.67%低于A组的10.00%,但差异无统计学意义(P>0.05)。结论:高风险因素复杂CSHD应用神经内镜辅助手术治疗可缩短患者卧床及住院时间,改善患者预后。

Objective:To analyze the clinical effect of neuroendoscopy assisted surgery in the treatment of complex CSDH patients with high risk factors.Method:The clinical data of 60 complex chronic subdural hematoma patients with high risk factors admitted to our hospital from January 2018 to January 2020 were retrospectively analyzed,and they were divided into group A and group B according to treatment methods,30 cases in each group.Group A was treated with conventional trepanation and drainage,while group B was treated with neuroendoscopeassisted trepanation and drainage.The postoperative effects,prognosis and complications were compared between two groups.Result:The hematoma clearance rate of the group B was higher than that of the group A,the recurrence rate of the group B was lower than that of the group A,and the bed time and hospital stay time of the group B were shorter than those of the group A,the differences were statistically significant(P<0.05).The good prognosis rate of group B was 93.33%,which was higher than 66.67%in the group A,the difference was statistically significant(P<0.05).The complication rate of the group B was 6.67%,which was lower than 10.00%of the group A,but the difference was not statistically significant (P>0.05). Conclusion: Neuroendoscopy assisted surgical treatment for complex CSHD with high risk factors can shorten the length of bed and hospital stay and improve the prognosis of patients.