软、硬通道微创手术治疗慢性硬膜下血肿的疗效研究  

Curative Effect Research of Soft-channel Minimally Invasive Operation Versus Hard-channel Minimally Invasive Operation for Chronic Subdural Hematoma

作　　者：钟斌[1] 单万平[1] 张龙[1] 刘凯[1] 

机构地区：[1]湖南省岳阳市中医院神经外科,414000

出　　处：《实用心脑肺血管病杂志》2012年第10期1619-1621,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的对比评价软通道微创手术及硬通道微创手术治疗慢性硬膜下血肿的疗效。方法入选的65例慢性硬膜下血肿患者,随机分为两组,软通道微创手术组33例,硬通道微创手术组32例。主要效应指标为:手术时间,引流时间,治疗后1个月、6个月Barthel指数(BI)及术后继发颅内血肿例数。结果手术时间、引流时间及术后继发颅内血肿两组间比较差异均有统计学意义(P<0.05);入院1个月后BI、入院6个月后BI两组间比较差异均无统计学意义(P>0.05)。结论软、硬通道微创手术治疗慢性硬膜下血肿均安全、有效,明显降低了患者死亡率,而软通道微创手术更加安全。Objective To compare the curative effect of soft - channel minimally invasive operation and hard - channel minimally invasive operation for chronic subdural hematoma （CSDH）. Methods Total 65 cases of chronic subdural hematoma patients were divided into two groups as follows： Group 1 ： 33 cases were treated with soft - channel minimally invasive opera- tion, and Group 2 ： 32 cases were treated with hard - channel minimally invasive operation. The main effective indicators includ- ed operation time, drainage time, Barthel index after one month, and six months, treatment and the cases of intracranial hema- toma after operation. Results The operation time, the drainage time and intracranial hematoma after operation did significantly differ between treatments （P 〈 0. 05）. There were no significant differences between treatments in the first month Barthel index or the sixth month Barthel index （ P 〉 0. 05 ）. Conclusion The treatment of soft - channel minimally invasive operation or hard -channel minimally invasive operation is a safe and effective method and significantly decrease mortality for CSDH patients. But, the soft -channel minimally invasive operation is more safety than the hard -channel minimally invasive operation.

关 键 词：软通道 硬通道 外科手术 微创性 血肿 硬膜下 慢性 

分 类 号：R651.155[医药卫生—外科学]