微创软通道对慢性硬膜下血肿的治疗  

Treatment of chronic subdural hematoma by minimally invasive soft-channels

作　　者：葛庆波[1] 罗巧云[1] 方昭庚[1] 王真真[1] 张奕生[1] 李静[1] 刘志红[1] 

机构地区：[1]解放军第458医院,广东广州510602

出　　处：《临床军医杂志》2010年第3期357-359,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨慢性硬膜下血肿的简便、安全、有效的临床治疗方法。方法选择慢性硬膜下血肿的病人,随机分为传统外科手术组(对照组)和微创治疗组,对照组采用传统的外科手术治疗,微创治疗组采用简易脑立体定向微创软通道技术。结果两组治疗效果、复发率异差无统计学意义(P>0.05),两组的平均住院时间比较差异有统计学意义(P<0.05),外科手术治疗组平均住院时间高于微创治疗组。结论慢性硬膜下血肿实施定向微创软通道手术,较对照组,可减轻患者手术痛苦、扩大手术实施的人群范围,减少患者平均住院天数,治疗效果与传统外科手术治疗,无显著差异。Objective To investigate into a simple,safe and effective clinical treatment for chronic subdural hematoma.Methods Patients with chronic subdural hematoma were randomly divided into trial（i.e.minimally invasive treatment）group and control（i.e.traditional surgical treatment）group.The trial group was treated with summary stereotactic minimally invasive soft-channel technology.Results There were no significant differences in treatment outcomes and relapse rate between the two groups（P〉0.05）,except in average length of hospitalization that was longer in the control group than in the trial group（P〈0.05）.Conclusion Without a difference in therapeutic outcome from traditional surgical treatment,targeted minimally invasive soft-channel operation for chronic subdural hematoma alleviates patients＇ suffering,expands the operated population and reduces the length of hospitalization.

关 键 词：脑立体定向 微创 软通道 慢性硬膜下血肿 

分 类 号：R743.34[医药卫生—神经病学与精神病学]