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术中冲洗液温度对慢性硬膜下血肿手术预后的影响

Effect of intraoperative flushing fluid temperature on the prognosis of chronic subdural hematoma surgery
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摘要 目的比较不同温度术中冲洗液在微创穿刺治疗慢性硬膜下血肿(CSDH)中的应用效果。方法选取2019年2月至2020年12月扬州大学附属医院神经外科的84例单侧CSDH患者进行回顾性研究,患者均采用微创穿刺手术方案,根据术中冲洗液温度不同将其分为常温组(42例,22℃冲洗液)和体温组(42例,37℃冲洗液)。比较两组的应用效果。结果两组的术后次日血肿残留量、平均住院时间、再手术率比较,差异无统计学意义(P>0.05);体温组的术后颅内积气率、术后复发率低于常温组,差异具有统计学意义(P<0.05);两组均未发生术后急性出血、感染及癫痫等并发症。治疗后,体温组的Markwalder's分级优于常温组(P<0.05)。结论在微创穿刺治疗CSDH过程中,体温冲洗液较常温冲洗液相比,可有效降低复发率,改善患者神经功能,值得进一步研究及临床推广。 Objective To compare the application effect of intraoperative flushing fluid with different temperature in the treatment of chronic subdural hematoma(CSDH)by minimally invasive puncture.Methods A retrospective study was conducted on 84 patients with unilateral CSDH who were admitted in the neurosurgery department of Affiliated Hospital of Yangzhou University from February 2019 to December 2020.All patients were treated with minimally invasive puncture surgery.According to the temperature of intraoperative flushing fluid,the patients were divided into normal temperature group(42 cases,22℃flushing fluid)and body temperature group(42 cases,37℃flushing fluid).The application effects of the two groups were compared.Results There were no significant differences in the residual amount of hematoma on the next day after operation,average hospitalization time and reoperation rate between the two groups(P>0.05);the postoperative intracranial pneumatosis rate and postoperative recurrence rate of the body temperature group were lower than those of the normal temperature group,and the differences were statistically significant(P<0.05);there were no postoperative complications such as acute bleeding,infection and epilepsy in both groups.After treatment,the Markwalder's classification of the body temperature group was better than that of the normal temperature group(P<0.05).Conclusion In the process of minimally invasive puncture for the treatment of CSDH,body temperature flushing fluid can effectively reduce the recurrence rate and improve the neurological function of patients compared with normal temperature flushing fluid,which is worthy of further research and clinical promotion.
作者 尤佳 曹德茂 YOU Jia;CAO Demao(Neurosurgery Department,Affiliated Hospital of Yangzhou University,Yangzhou 255600,China)
出处 《临床医学研究与实践》 2023年第35期76-79,共4页 Clinical Research and Practice
关键词 慢性硬膜下血肿 微创穿刺 冲洗液 温度 chronic subdural hematoma minimally invasive puncture flushing fluid temperature
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