单纯钻孔引流术和钻孔冲洗引流术治疗慢性硬膜下血肿的治疗效果分析  

Analysis of the Therapeutic Effect of Simple Borehole Drainage and Borehole Irrigation Drainage for Chronic Subdural Hematoma

作　　者：张党林[1] 周鹏[1] ZHANG Dang-lin;ZHOU Peng(Department of Neurosurgery,Nanjing Jiangning Hospital,Nanjing,Jiangsu Province,210000 China)

机构地区：[1]南京市江宁医院神经外科,江苏南京210000

出　　处：《中外医疗》2020年第32期50-53,共4页China & Foreign Medical Treatment

摘　　要：目的探讨慢性硬膜下血肿应用单纯钻孔引流术和钻孔冲洗引流术临床治疗效果。方法以2014年2月—2019年3月作为研究时间范围,便利选取30例该院收治慢性硬膜下血肿患者作为研究对象,根据入院时间对患者进行分组,2014年2月—2016年6月为对照组,2016年7月—2019年3月为研究组,每组各15例,对照组采用单纯钻孔引流术,研究组采用钻孔冲洗引流术,对两组患者病历进行回顾分析,对比两组患者治疗效果、手术指标、并发症发生率以及短期预后效果。结果研究组患者治疗有效率与对照组相比差异无统计学意义(P>0.05)。对照组手术时间、术中出血量以及手术切口优于研究组,差异有统计学意义(P<0.05)。研究组术后并发症发生率20.00%,显著优于对照组患者60.00%,差异有统计学意义(χ~2=5.000,P<0.05)。研究组患者术后1 d颅内积气量(3.15±3.1)mL显著优于对照组患者,差异有统计学意义(t=6.359,P<0.05)。结论慢性硬膜下血肿患者应用单纯钻孔引流术与钻孔冲洗引流术均有治疗效果,但是钻孔冲洗引流术术后并发症发生率更低,具有临床应用价值。Objective To investigate the clinical effect of simple borehole drainage and borehole washing and drainage on chronic subdural hematoma.Methods Using February 2014 to March 2019 as the study time frame,30 patients with chronic subdural hematoma admitted to the hospital were selected as the research objects,and the patients were grouped according to the time of admission,and February 2014 to June 2016 as the control Group,July 2016 to March 2019 was the study group,each group had 15 cases,the control group used simple borehole drainage,and the study group used borehole irrigation and drainage.The medical records of the two groups were retrospectively analyzed and compared.The treatment effect,surgical index,complication rate and short-term prognosis of patients in the group.Results There was not statistically significant difference in the effective rate of treatment between the study group and the control group(P>0.05).The operation time,intraoperative blood loss and surgical incision of the control group were better than those of the study group,and the difference was statistically significant(P<0.05).The postoperative complication rate of the study group was 20.00%,which was significantly better than that of the control group by 60.00%,the difference was statistically significant(χ2=5.000,P<0.05).The volume of intracranial gas(3.15±3.1)mL in the study group was significantly better than that in the control group at 1 d postoperatively,and the difference was statistically significant(t=6.359,P<0.05).Conclusion For patients with chronic subdural hematoma,both simple borehole drainage and borehole irrigation and drainage have therapeutic effects,but the incidence of complications after borehole irrigation and drainage is lower,which has clinical application value.

关 键 词：单纯钻孔引流术 钻孔冲洗引流术 慢性硬膜下血肿 治疗效果 

分 类 号：R651[医药卫生—外科学]