改良T管引流与传统硬脑膜下引流治疗慢性硬脑膜下血肿的效果比较  

Comparison of modified T tube drainage therapy with traditional skull drill-hole therapy

作　　者：孙峻峰[1] 熊东胜 高强[1] 郑维涛[1] 李康[1] 赵鑫[1] 康宁[1] 

机构地区：[1]陕西省宝鸡市人民医院神经外科,宝鸡721000

出　　处：《陕西医学杂志》2016年第4期463-465,共3页Shaanxi Medical Journal

基　　金：陕西省宝鸡市卫生和计划生育局科研立项课题(2015-35)

摘　　要：目的：探讨在慢性硬脑膜下血肿颅骨钻孔手术治疗中,改良T管引流相比传统硬脑膜下引流的优劣。方法：本次研究回顾分析了我院慢性硬脑膜下血肿行颅骨钻孔手术167例,分为2组,改良T管引流组96例,传统硬脑膜下引流组71例,统计比较了2组患者在术后残余积液及积气量、引流管保留时间、住院时间等情况,以评估治疗的效果。结果：改良T管引流较传统硬脑膜下引流对慢性硬脑膜下血肿的治疗,术后残余积液、积气量减少,留管时间由3~5d减少为2~3d,住院时间由12~14d减少为9~10d。结论：改良T管引流相比传统硬脑膜下引流术后残余积液、积气量小,有利于脑组织膨复,缩短引流管保留时间和住院时间,有更好的治疗效果。Objective： To compare modified T tube therapy with traditional skull drill-hole therapy in patients with chronic subdural hematoma. Methods： This study collected 167 cases from June 2008 to June 2015. The patients were divided into two groups. The remnant gas and liquid, drainage time, hospitalization time were com- pared between the two groups. Results： We found patients after modified T tube therapy had less remnant gas and liquid, drainage time decreased from 3-5 days to 2-3 days, hospitalization time decreased from 12-14 days to 9-10 days. Conclusion： Modified T tube therapy has less remnant gas and liquid than traditional skull drill hole therapy, better impact for brain restoration, decreased drainage time and hospitalization time. It has a better therapeutic effect.

关 键 词：血肿 硬膜下 引流术 住院时间 

分 类 号：R651.1[医药卫生—外科学]