微创手术治疗急性颅脑损伤开颅术后远隔部位迟发性硬膜外血肿的疗效观察  

Observation on the Curative Effect of Minimally Invasive Surgery in the Treatment of Remote Delayed Epidural Hematoma in Patients with Acute Craniocerebral Injury after Craniotomy

作　　者：林卓辉[1] 赵崇伟[1] 李杰华[1] 

机构地区：[1]广东省江门市新会区人民医院神经外科,广东江门521900

出　　处：《临床医学工程》2017年第9期1245-1246,共2页Clinical Medicine & Engineering

摘　　要：目的观察微创手术治疗急性颅脑损伤开颅术后远隔部位迟发性硬膜外血肿的疗效。方法选取我院2015年3月至2016年6月行急性颅脑手术后发生远隔部位迟发性硬膜外血肿的106例患者,随机分为两组各53例。观察组采用微创血肿清除术治疗,对照组采用常规开颅血肿清除术治疗。比较两组患者的血肿清除率、复发率、并发症发生率、ADL评分以及GCS评分。结果两组患者的血肿清除率和复发率比较差异均无统计学意义(P>0.05)。观察组的切口延期愈合率和切口感染率显著低于对照组,差异有统计学意义(P<0.05)。观察组ADL评分>60分及GCS评分>5分患者例数均明显高于对照组,差异有统计学意义(P<0.05)。结论采用微创血肿清除术治疗急性颅脑损伤开颅术后远隔部位迟发性硬膜外血肿,其血肿清除效果与传统开颅手术相当,并显著提高患者的日常生活能力,促进神经功能恢复。Objective To observe the curative effect of minimally invasive surgery in the treatment of remote delayed epidural hematoma in patients with acute craniocerebral injury after craniotomy. Methods 106 cases of patients with remote delayed epidural hematoma after acute craniocerebral surgery in our hospital from March 2015 to June 2016 were selected and randomly divided into two groups, with 53 cases in each group. The observation group received minimally invasive hematoma surgery, while the control group received conventional craniotomy. The hematoma clearance rate, recurrence rate, incidence of complications, ADL score and GCS score were compared between two groups. Results No statistical difference was found in the hematoma clearance rate and recurrence rate between two groups （P〉0.05）. The delayed healing rate and infection rate of observation group were significantly lower than those of control group, with statistical differences （P〈0.05）. Patients with ADL score 〉60 and GCS score 〉5 of observation group were significantly more than those of control group, with statistical differences （P〈0.05）. Conclusions Minimally invasive hematoma surgery in the treatment of remote delayed epidural hematoma in patients with acute craniocerebral injury after craniotomy has the same effect as the traditional craniotomy, and can significantly improve patients＇ daily life ability and promote the recovery of neurological function.

关 键 词：急性颅脑损伤 微创血肿清除术 迟发性硬膜外血肿 疗效 

分 类 号：R651.1[医药卫生—外科学]