YL-1型针在治疗高龄患者慢性硬膜下血肿中的应用  

Application of YL-1 Needle in Treatment of Senile Patients with Chronic Subdural Hematoma

作　　者：费喜峰[1] 万意[1] 王之敏[1] 陈寒春[1] FEI Xi-feng;WAN Yi;WANG Zhi-min;CHEN Han-chun(Department of Neurosurgery,Suzhou Jiulong Hospital affiliated to Shanghai Jiaotong University School of Medicine,Suzhou,Jiangsu Province,215028 China)

机构地区：[1]上海交通大学医学院附属苏州九龙医院神经外科,江苏苏州215028

出　　处：《系统医学》2017年第15期61-63,共3页Systems Medicine

摘　　要：目的探讨YL-l型针在治疗80~90岁高龄患者慢性硬膜下血肿中的治疗效果。方法回顾性分析2012年5月—2016年12月该院收治的17例经YL-1型针穿刺治疗的高龄患者慢性硬膜下血肿患者的临床资料,设为80~90岁组,同时随机抽取同期收治60~79岁的19例慢性硬膜下患者为60~79岁组,手术方法与第一组相同。观察比较两组治疗效果,包括在术后治愈率,并发症发生率,复发率及住院时间等方面的差异。结果两组术后均治愈出院,80~90岁组术后血肿复发1例,并发不同程度气颅1例,伤口感染1例;60~79岁组术后复发1列,其余一次性治愈,并发不同程度气颅2例,两组在复发率及并发症发生率上并差异无统计学意义(P>0.05);80~90岁组平均住院天数为(9.235±2.948)d,60~79岁组平均住院天数为(7.316±3.660)d,两组比较差异无统计学意义(P>0.05)。结论 YL-1型针穿刺治疗80~90岁组高龄老年患者慢性硬膜下血肿同60~79岁组一样安全、有效。Objective To study the effect of YL-1 needle in treatment of senile patients with chronic subdural hematoma.Methods 17 cases of patients with YL-1 needle puncture treatment admitted and treated in our hospital from May 2012 to December 2016 were selected as the 80~90 years old group,at the same time,19 cases of patients with chronic subdural hematoma group at the same period were selected as the 60~79 years old group,and the operation method was the same as the first group,and the differences in the postoperative cure rate,incidence rate of complications,recurrence rate and length of stay were compared between the two groups.Results Both groups were discharged after healing,in the 80~90 years old group,there was 1 case with postoperative haematoma recurrence,1 case with different degrees of pneumocephalus and 1 case with wound infection;in the 60~79 years old group,there was 1 case with postoperative recurrence,and the other cases were cured by one time,and 2 cases with different degrees of pneumocephalus and there was not statistically significant in the recurrence rate and incidence rate of complications between the two groups(P>0.05),in the 80~90 years old group,the average length of stay was(9.235±2.948)d and in the 60~79 years old group,the average length of stay was(7.316±3.660)d,and the difference was not statistically significant(P>0.05).Conclusion The YL-1 puncture treatment of Chronic subdural hematoma of senile patients aged from 80 to 90 and patients aged from 60 to 79 can obtain the same effect.

关 键 词：慢性硬膜下血肿 高龄患者 YL-1型针 

分 类 号：R651[医药卫生—外科学]