急性外伤性硬膜外血肿患儿微创穿刺血肿清除的疗效分析  

Clinical analysis on the effects of minimally invasive puncture hematoma removal on the children with acute traumatic epidural hematoma

作　　者：康中山[1] 卜月梅[1] 冯振中[1] 罗明[1] 易显富[1] 

机构地区：[1]湖北医药学院附属太和医院急诊科,湖北十堰442000

出　　处：《海军医学杂志》2017年第6期538-540,559,共4页Journal of Navy Medicine

基　　金：湖北省教育厅科研项目(B2016116)

摘　　要：目的比较微创穿刺术与皮瓣开颅血肿清除术在急性外伤性硬膜外血肿清除中的临床效果。方法选择我院2014年5月至2015年12月收治的80例急性外伤性硬膜外血肿患者进行研究。按照随机数字表法均分为A、B 2组,每组各40例。A组采用微创穿刺术治疗,B组采用皮瓣开颅血肿清除术治疗。手术后,比较分析2组患者的疗效。结果 A组患者术后总有效率为90%,B组总有效率为70%,组间比较差异有统计学意义(P<0.05)。A组手术时间[(70.37±14.36)min]短于B组[(101.76±21.98)min],A组术中出血量、术中输血量少于B组,组间比较差异有统计学意义(P<0.05)。A组血肿吸收天数、脱水剂使用天数和住院天数短于B组,2组比较差异有统计学意义(P<0.05)。结论应用微创穿刺术治疗急性外伤性硬膜外血肿疗效优于应用皮瓣开颅血肿清除术,值得临床广泛应用。Objective To compare the clinical effects of minimally invasive puncture hematoma removal and flap craniotomy hematoma removal on the children with acute traumatic epidural hematoma.Methods Eighty patients with acute traumatic epidural hematoma treated in the hospital from May 2014 to December 2015 were recruited for the study.With random cluster sampling method,80 patients were divided into group A and B,each consisting of 40 patients.Group A was treated with minimally invasive puncture,while group B received flap craniotomy removal for treatment.After treatment,therapeutic effects were compared and analyzed between the patients of the 2 groups.Results Curative efficacy in the patients of group A was 90% and that of the patients in group B was 70%(P<0.05).There was statistical significance when comparisons were made between the 2 groups(P<0.05).The surgical time for the patients of group A was shorter than that of the patients in group B,and blood loss and the amount of blood transfusion for the patients of group A were less than those of the patients in group B.Statistical significance could also be found when comparisons were made between the 2 groups(P<0.05).The length of hematoma absorption time,days of dehydrating agent application and length of hospital stay for the patients of group A were shorter than those of the patients in group B,also with statistical significance(P<0.05).Conclusion The method of minimally invasive puncture hematoma removal in the treatment of acute traumatic epidural hematoma was superior to the method of flap craniotomy hematoma removal,which was worth further clinical application.

关 键 词：微创穿刺术 皮瓣开颅血肿清除术 急性外伤性硬膜外血肿 

分 类 号：R615[医药卫生—外科学]