微创引流术与开颅术在硬脑膜外血肿患者围手术期的治疗体会及临床疗效评价  

Evaluation and Experience of Clinical Effect of Minimally Invasive Drainage and Craniotomy in the Treatment of Patients with Epidural Hematoma

作　　者：陈少伟[1] 林诗荣[1] 黄金楷[1] 张义王[1] 蔡金炼 

机构地区：[1]解放军第180医院神经外科,福建泉州362000

出　　处：《现代生物医学进展》2017年第24期4680-4683,共4页Progress in Modern Biomedicine

基　　金：福建省自然科学基金项目(007J02982)

摘　　要：目的:分析微创引流术与开颅术在硬脑膜外血肿患者围手术期的治疗体会及临床疗效评价。方法:选取本院2015年1月至2016年10月期间诊断为硬脑膜外血肿的患者100例,随机均分成两组,即对照组和观察组。对照组采用常规开颅手术,观察组给予微创引流手术治疗。比较两组手术效果及治疗前后生活质量改善情况。结果:观察组手术效果优于对照组(P<0.05);观察组颅脑缺损(0%)、再出血率(6%)明显低于对照组(12%,20%)(P<0.05),观察组生活质量高于对照组(P<0.05)。结论:与常规开颅术相比,微创引流术创伤小、恢复快、效果好,值得临床推广应用。Objective：To analyse the evaluation and experience of clinical effect of minimally invasive drainage and craniotomy in the treatment of patient with epidural hematoa.Methods：100 cases of patients who were diagnosed as epidural hematoma from January 2015 to January 2016 were selected and randomly divided into two groups,where the control group were given craniotomy,and the observation group were given minimal invasive drainage.The effect of the surgery and the life qualities before and after treatment of the two groups were compared.Results：The effect of observation group is better than that of control group（P 〈 0.05）;craniocerebral defect and the re-hemorrhage incidence occurrence in the observation group were obviously lower than those in the control group,（0 %,6 % vs 12 %,20 %）（P〈0.05）.Conclusion：Compared with craniotomy,minimal invasive drainage in clinical treatment of epidural hematoma showed advantage in at smaller trauma,faster recovery,and better effect,thus deserving further promotion of clinic application.

关 键 词：微创引流术 开颅术 硬脑膜外血肿 疗效 

分 类 号：R651[医药卫生—外科学]