慢性硬膜下血肿钻孔引流术后并发症临床分析  

Clinical Analysis of Complications After Drainage of Chronic Subdural Hematoma Drilling

作　　者：朱胜强[1] 王文华[1] 谭卫国[1] 

机构地区：[1]江苏省昆山市中医医院脑外科,江苏昆山215300

出　　处：《中国卫生标准管理》2016年第19期30-31,共2页China Health Standard Management

摘　　要：目的探究钻孔引流术治疗慢性硬膜下血肿的术后并发症情况。方法选择我院2004年1月~2016年2月收治的94例慢性硬膜下血肿患者,根据患者治疗方法的不同分为对照组和观察组,比较两组治疗情况术后并发症类型、发生率等相关情况。结果对照组患者有10例并发症发生,发生率为21.28%;观察组患者有5例并发症发生,发生率为10.64%,观察组患者的并发症发生率低于对照组患者（P〈0.05）,具有统计学意义;观察组患者颅内感染和脑脊液漏的发生率低于对照组（P〈0.05）,具有统计学意义。结论钻孔引流术治疗慢性硬膜下血肿疗效确切,但并发症发病率高,YC-1穿刺引流术手术创伤小,血肿清除彻底、操作简单、安全,并发症发病率低。Objective To explore the postoperative complications of drilling drainage treatment of chronic subdural hematoma. Methods 94 patients with chronic hematoma in patients admitted in the hospital from January 2004 to February 2016,were divided into control group and observation group depending on the method of treatment and types of treatment complications,the incidence of other relevant circumstances were compared. Results The patients in the control group,10 cases of complications,the rate was 21.28%,5 cases observed in patients with complications,the rate was 10.64%,the incidence of complications in the observation group were significantly lower than the controlgroup（P 0.05）,with statistical significance,observation of patients with intracranial infection and the incidence of brain machine leakage was significantly lower than the control group（P 0.05）,with statistical significance. Conclusion Drilling drainage treatment of chronic subdural hematoma definite effect,but a high incidence of complications,YC-1 puncture drainage surgical trauma,hematoma thorough,simple,safe,low incidence of complications.

关 键 词：慢性硬膜下血肿 钻孔引流术 穿刺引流术 并发症 

分 类 号：R651[医药卫生—外科学]