不同手术方法治疗慢性硬膜下血肿的疗效分析(附139例病例分析)  

Effect analysis of different surgical treatments of chronic subdural hematoma

作　　者：杨国瑛[1] 王学富[1] 张文彬[1] 樊保华[1] 

机构地区：[1]太和县人民医院神经外科,236600

出　　处：《安徽医学》2011年第12期2024-2026,共3页Anhui Medical Journal

摘　　要：目的探讨经皮锥颅引流术、颅骨钻孔引流术和扩大颅骨钻孔引流术3种不同手术方法治疗慢性硬膜下血肿的方案、疗效及复发率。方法回顾性分析近10年收治的139例慢性硬膜下血肿,分别对采用经皮锥颅引流术(A组,42例)、颅骨钻孔引流术(B组,47例)和扩大颅骨钻孔引流术(C组,50例)进行手术治疗,对不同组别的疗效和复发率等指标进行分析比较。结果日常生活能力改善ADL评分比较,A组和B组无明显差异,C组优于A组和B组,差异有统计学意义(P<0.05);复发率比较,A组和B组无明显差异,C组复发率低于A组和B组,差异有统计学意义(P<0.05)。结论在上述3种手术方法中,扩大颅骨钻孔引流术治疗慢性硬膜下血肿具有效果好、恢复快、复发率低的优点。Objective To explore the operation methods, efficacy and recurrence rate of simple awl cranium drainage, burr holes irrigation and drainage and expanding skull hole drainage in treating chronic subdural hematoma. Methods Retrospective study was performed on 139 cases of chronic subdural hematoma in the past 10 years to investigate the differences of efficacy and recurrence rate among the three groups of simple awl cranium drainage （group A,42 cases）, burr holes irrigation and drainage （group B, 47cases） and expanding skull hole drainage （group C, 50 cases）. Results There was no significant difference in activities of daily living （ADL） score between group A and groups B, and group C was superior to group A and B （P〈0.05）. There was also no significant difference of recurrence rate between group A and group B, and group C was lower than group A and group B （P〈0.05）. Conclusion Expanding skull hole drainage is an effective method to treat chronic subdural hematoma, which has advantages of good effect, fast recovery, and low recurrence rate.

关 键 词：慢性硬膜下血肿 锥颅引流术 钻孔引流术 扩大钻孔引流术 

分 类 号：R651.1[医药卫生—外科学]