神经内镜下小骨窗入路治疗慢性硬膜下血肿的疗效评估  

Evaluation on Curative Effect of Endoscopic Small Bone Window Approach in Treatment of Chronic Subdural Hematoma

作　　者：徐军[1] XU Jun(Department of Neurosurgery,Jiangyin Hospital Affiliated to Medical College of Southeast University,Jiangyin,Jiangsu Province,214400 China)

机构地区：[1]东南大学医学院附属江阴医院神经外科,江苏江阴214400

出　　处：《系统医学》2017年第17期53-54,58,共3页Systems Medicine

摘　　要：目的研究在慢性硬膜下血肿中应用神经内镜下小骨窗入路治疗的临床效果。方法将该院自2015年5月—2017年5月期间收治的45例慢性硬膜下血肿患者作为研究对象,以随机数字表法对患者随机均分成3组,A组(n=15例)、B组(n=15例)、C组(n=15例),将实行神经内镜下小骨窗入路治疗患者作为A组,将实行小骨窗入路治疗患者作为B组,将实行钻孔引流术患者作为C组,对比3组慢性硬膜下血肿患者的临床治疗效果。结果A组慢性硬膜下血肿患者临床治疗有效率100.00%、住院时间(4.21±0.33)d、手术时间(33.21±5.29)min、住院费用(3 322.32±563.21)元等指标与B组、C组对比差异有统计学意义(P<0.05)。结论将神经内镜下小骨窗入路治疗应用于慢性硬膜下血肿患者中存在确切疗效,值得借鉴。Objective To research the clinical effect of endoscopic small bone window approach in treatment of chronic subdural hematoma.Methods 45 cases of patients with chronic subdural hematoma admitted and treated in our hospital from May 2015 to May 2017 were selected as the research objects and randomly divided into three groups with 15 cases in each,the group A,group B and group C were respectively treated with endoscopic small bone window approach,small bone window approach and cranial drilling hematoma evacuation drainage,and the clinical treatment effect was compared among groups.Results The clinical treatment effective rate,length of stay,operation time and hospitalization cost in the group A were respectively 100.00%,(4.21±0.33)d,(33.21±5.29)min,(3 322.32±563.21)yuan,and the differences among the three groups were not statistically significant(P<0.05).Conclusion The curative effect of endoscopic small bone window approach in treatment of chronic subdural hematoma is definite,which is worth reference.

关 键 词：神经内镜 小骨窗入路 慢性硬膜下血肿 疗效 

分 类 号：R743[医药卫生—神经病学与精神病学]