锥颅置管引流与去骨瓣减压术在单侧脑出血患者手术疗效分析  

Efficacy analysis of cone cranial catheter drainage and decompressive craniectomy on patients with unilateral cerebral hemorrhage

作　　者：朱福彬 李剑平[1] 廖振华[1] 娄长礼 曾华元 ZHU Fu-bin;LI Jian-ping;LIAO Zhen-hua;LOU Chang-li;ZENG Hua-yuan(Department of Neurosurgery,People′s Hospital of Xingguo County,Jiangxi Province,Xingguo342400,China)

机构地区：[1]江西省兴国县人民医院神经外科,江西兴国342400

出　　处：《中国当代医药》2018年第34期67-69,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2016ZSF345)

摘　　要：目的探讨锥颅置管引流治疗单侧脑出血患者的效果。方法选取2016年1月～2018年6月我院收治的60例单侧脑出血患者作为研究对象,根据手术治疗方案将其分为对照组(n=30)和观察组(n=30)。对照组患者采取开颅血肿清除术+去骨瓣减压术治疗,观察组患者采取锥颅置管引流术治疗。比较两组患者的治疗效果、手术情况、并发症情况及病死率。结果观察组患者的治疗总有效率显著高于对照组,差异有统计学意义(P<0.05)。观察组患者的术中出血量显著少于对照组,手术时间、住院时间均显著短于对照组,差异有统计学意义(P<0.05)。两组患者的并发症总发生率及病死率比较,差异无统计学意义(P>0.05)。结论对于单侧脑出血的患者,采取微创锥颅置管引流术,手术效果显著,可缩短住院时间,值得在临床进一步探讨和推广。Objective To investigate the effect of cone cranial catheter drainage in the treatment of patients with unilateral cerebral hemorrhage.Methods Altogether 60 cases of patients with unilateral cerebral hemorrhage treated in our hospital from January 2016 to June 2018 were selected as the research subjects.According to the surgical treatment scheme,the patients were divided into the control group(n=30)and the observation group(n=30).The control group was treated with craniotomy hematoma removal plus decompressive craniectomy,and the observation group was treated with cone cranial catheter drainage.The therapeutic effect,surgical status,complications,and mortality were compared between the two groups.Results The total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss in the observation group was significantly less than that in the control group,the operation time and hospitalization time were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the total incidence of complications and mortality between the two groups(P>0.05).Conclusion For patients with unilateral cerebral hemorrhage,minimally invasive cone cranial catheter drainage is effective and can shorten the time of hospitalization,which is worthy of further exploration and promotion in the clinic.

关 键 词：单侧脑出血 锥颅置管引流 开颅血肿清除术 去骨瓣减压术 

分 类 号：R651.11[医药卫生—外科学]