单纯钻孔引流与神经内镜辅助治疗慢性硬膜下血肿的临床分析  

Clinical analysis of the treatment of chronic subdural hematoma with the aid of neuroendoscope-assisted and burr hole drainage

作　　者：安文志[1] 王文成 陈晨[1] 姬广福 郑伟[1] 李继禄 AN Wenzhi;WANG Wencheng;CHEN Chen;JI Guangfu;ZHENG Wei;LI Jilu(Taishan Medical University,Taian 271000,China;School of Clinical Medicine,Shantou University,Shantou 515000,China;Dept.of Neurosurgery,First Clinical College of Taishan Medical University,Taian 271000,China)

机构地区：[1]泰山医学院,山东泰安271000 [2]汕头大学医学院临床学院,广东汕头515000 [3]泰山医学院第一临床学院神经外科,山东泰安271000

出　　处：《泰山医学院学报》2018年第4期394-396,共3页Journal of Taishan Medical College

摘　　要：目的探讨单纯钻孔引流与神经内镜辅助治疗慢性硬膜下血肿的临床疗效。方法将我院自2011年05月至2013年05月应用单纯钻孔引流治疗的54例慢性硬膜下血肿患者作为对照组,将我院自2013年05月购入神经内镜后至2015年05月应用神经内镜辅助下治疗的52例慢性硬膜下血肿患者作为实验组,应用改良Markwalder分级评定神经功能,回顾性对比分析两组患者在年龄、性别等一般资料及术前、术后改良Markwalder分级、手术时间、住院时间、复发率方面的差异,评价临床疗效。结果两组患者的一般资料无明显差别(P>0.05)。两组患者术后神经功能较术前均有好转(P<0.05),但术后好转程度无明显区别(P>0.05)。实验组较对照组手术时间长、住院时间短、术后复发率低(P<0.05)。结论与单纯钻孔引流相比,神经内镜辅助治疗慢性硬膜下血肿在减少住院时间、降低复发率方面有优势。Objective:To investigate the clinical effects of the treatment of chronic subdural hematoma with the aid of neuroendoscope-assisted and burr hole drainage.Methods:We selected 54 patients with chronic subdural hematoma treated with burr hole drainage as the control group from January 2011 to January 2013,after receiving neuroendoscopy from February 2013 to February 2013,a total of 52 patients with chronic subdural hematoma were treated with neuralendoscope-assisted as the experimental group.Compare and analyze the The clinical efficacy of gengeral information(such as age,gender),preoperative neurological function,postoperative neurological function,the operation time,the hospitalization time of the two groups.Results:The gengeral information of the two groups had no significant diffience(P>0.05).Compared with preoperative,postoperative neurological function of the two groups improved significantly depending on improved version of Markwalder grading(P<0.05).But there is no significant difference in the degree of improvement postoperatively(P<0.05).The hospitalization time was shorter and the postoperative recurrence rate was lower in the experimental group than the control group,but The operation time was longer(P<0.05).Conclusion:Endoscope-assisted burr hole drainage is more effective than burr hole drainage in the treatment of chronic subdural hematoma in terms of shortening hospitalization time and reducing recurrence.

关 键 词：慢性硬膜下血肿 神经内镜辅助 钻孔引流 改良Markwalder分级 复发 

分 类 号：R651[医药卫生—外科学]