三种手术方法治疗慢性硬膜下血肿的临床分析  

Clinical analysis of three surgical methods for the treatment of chronic subdural hematoma

作　　者：刘国栋[1] 王守利[1] 李会华[1] 陈盟[1] LIU Guodong WANG Shouli LI Huihua CHEN Meng(Department of Neurosurgery, Liangxiang Hospital of Beijing Fangshan District, Belling 102488, China)

机构地区：[1]北京市房山区良乡医院神经外科,北京102488

出　　处：《中华神经外科疾病研究杂志》2017年第1期58-60,共3页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的通过对三种手术方式治疗慢性硬膜下血肿的临床分析,找出慢性硬膜下血肿的首选治疗方法。方法选取我院近6年收治的慢性硬膜下血肿70例,将其按不同手术方式分为三组,对年龄、术前神经功能缺失分级、术前出血量、预后、术后并发症及复发率进行分析。结果三组治愈率及好转率无差异(P>0.05);小钻孔组与单骨孔组术后复发率差异显著(P<0.05),前者复发率明显大于后者;单骨孔组与双骨孔组术后并发症发生率差异显著(P<0.05),后者并发症发生率明显大于前者。结论单骨孔手术由于其术后并发症及复发率低的特点,可以作为CSDH首选的外科治疗手段。ObjectiveThree surgical methods for the treatment of chronic subdural hematoma were compared to discuss the proper treatment for it. MethodsA total of 70 cases of chronic subdural hematoma admitted to our hospital in recent 6 years were included and divided into three groups according to different surgical methods. The age, preoperative nerve function deficits grading, preoperative bleeding volume, prognosis, postoperative complications and recurrence rate were analyzed.ResultsThere was no difference in cure and improvement rate among three groups （P〉0.05）. The recurrence rate of the burrhole group was much higher than that of the single bone hole group with a statistically significant difference （P〈0.05）. The incidence of postoperative complications was signficantly different between the single bone hole group and the double bone hole group, with that of double bone hole group much higher （P〈0.05）.ConclusionWith low incidence of postoperative complications and low recurrence rate, the single bone hole surgery can be used as the preferred surgical treatment of CSDH.

关 键 词：慢性硬膜下血肿 小钻孔 单骨孔 双骨孔 

分 类 号：R651.11[医药卫生—外科学]