急性硬膜下血肿清除+去骨瓣减压术后对侧进展性硬膜外血肿的早期诊治分析  

Early diagnosis and treatment analysis of contralateral progressive epidural hematoma after acute subdural hematoma removal and decompressive craniectomy

作　　者：陈斌[1] 杨少锋[1] 李永生[1] 罗丽兰 CHEN Bin;YANG Shao-feng;LI Yong-sheng;LUO Li-lan(Department of Neurosurgery, the Second Affiliated Hospital of Shantou University Medical College, Guangdong Province, Shantou 515041, China)

机构地区：[1]汕头大学医学院第二附属医院神经外科,广东汕头515041

出　　处：《中国当代医药》2019年第7期92-94,共3页China Modern Medicine

摘　　要：目的探究急性硬膜下血肿清除+去骨瓣减压术后对侧进展性硬膜外血肿早期诊治的效果。方法回顾性分析2014年3月～2017年2月我院收治的40例急性硬膜下血肿清除+去骨瓣减压术后对侧进展性硬膜外血肿患者的临床资料,根据治疗方法的不同将其分为对照组(保守治疗)和观察组(血肿清除术),每组各20例,比较两组患者的确诊时间与部位、预后情况及住院时间。结果两组患者的确诊时间及确诊部位占比比较,差异无统计学意义(P>0.05)。观察组患者的恢复良好率高于对照组,差异有统计学意义(P<0.05)。观察组患者的住院时间显著短于对照组,差异有统计学意义(P<0.05)。结论早期确诊急性硬膜下血肿清除+去骨瓣减压术后对侧进展性硬膜外血肿并选择有效的治疗方式是促进患者预后改善的关键。Objective To investigate the effect of early diagnosis and treatment of contralateral progressive epidural hematoma after acute subdural hematoma removal and decompressive craniectomy. Methods The clinical data of 40 patients with contralateral progressive epidural hematoma after acute subdural hematoma clearance and decompressive craniectomy treated in our hospital from March 2014 to February 2017 were retrospectively analyzed. According to the different treatment methods, they were divided into control group (conservative treatment) and observation group (hematoma removal), 20 cases in each group. The time and location of diagnosis, prognosis and hospitalization time were compared between the two groups. Results There was no significant difference between the two groups in the time and the proportion of diagnosis location (P>0.05). The recovery rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). The hospitalization time of the observation group was significantly shorter than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Early diagnosis of contralateral progressive epidural hematoma after acute subdural hematoma clearance and decompressive craniectomy and selection of effective treatment is the key to improving the prognosis of patients.

关 键 词：急性硬膜下血肿 去骨瓣减压术 进展性硬膜外血肿 保守治疗 预后 

分 类 号：R651.15[医药卫生—外科学]