亚急性硬膜下血肿两种手术方法疗效比较  

Comparation of Two Operation Ways of Subacute Submembraine Hematoma

作　　者：吴浩亮[1] 

机构地区：[1]江苏省启东市人民医院神经外科,启东市226200

出　　处：《医药论坛杂志》2010年第21期76-78,共3页Journal of Medical Forum

摘　　要：目的采用钻孔引流术治疗亚急性硬膜下血肿,并与开颅术的疗效相比较。方法从2005年1月至2010年7月,收治亚急性硬膜下血肿患者65例,回顾性分析65例患者的临床及神经影像学特征、手术方法和治疗效果,对比钻孔引流术与开颅血肿清除术的疗效差异。结果 65例患者均采用手术治疗;钻孔引流组38例,其中36例治愈,2例复发,无死亡;开颅组27例,其中治愈26例,1例死于术后并发肺部感染,无复发;两组在治愈率、复发率、及死亡率上均无显著性差异。结论钻孔引流术与开颅术均是治疗亚急性硬膜下血肿的有效方法,前者具有操作简便、微创、及避免行开颅手术等优势,可作为治疗的首选。Objective To adopt drilling drainage to treat sulacute subscleromembraine hematoma,and compare with craniotomy.Methods From Jan,2005-July,2010,65 cases data were retrospectively analyzed their neuro image character,operation way and effect,and compare the two ways difference.Resnlts Drilling drainage group 38 cases,36 cases cured,2cases relapsed,no death.Craniotomy 27 cases,26 cases cured,1cases died of postoperative lung infection,no relapse.There＇s no obvious difference in curative rate,relapse rate and mortality.Conclusion Drilling drainage and craniotomy are effective way to treat subacute subscleromembraine hemotoma,the former one has advanatage of simple,microinvasive,can be chosen firstly.

关 键 词：亚急性硬膜下血肿 手术 复发 疗效 

分 类 号：R651[医药卫生—外科学]