两种血肿清除方式在慢性硬膜下血肿患者微创血肿清除术中的应用效果对比  

Comparison of the effect of two methods of hematoma removal in minimally invasive hematoma removal in patients with chronic subdural hematoma

作　　者：李优文 肖丹妮 吴海兴 LI Youwen;XIAO Danni;WU Haixing(Department of Neurosurgery,Dapu People’s Hospital,Meizhou 514200)

机构地区：[1]大埔县人民医院神经外科,广东梅州514200

出　　处：《当代医药论丛》2021年第13期48-50,共3页

摘　　要：目的:分析并比较对慢性硬膜下血肿患者进行微创血肿清除术时对其实施术中置管冲洗与术中单纯置管引流+术后尿激酶溶解治疗的效果。方法:选择近年来在大埔县人民医院进行微创血肿清除术的50例慢性硬膜下血肿患者作为研究对象。随机将其分为观察组与对照组。对两组患者均进行微创血肿清除术,在此期间对观察组患者进行术中置管冲洗治疗,对对照组患者进行术中单纯置管引流+术后尿激酶溶解治疗,然后比较两组患者的各项临床指标。结果:治疗期间及治疗后,观察组患者并发症的发生率低于对照组患者,P<0.05。观察组患者术后的引流量多于对照组患者,其拔管的时间和住院的时间均短于对照组患者,其治疗的费用低于对照组患者,P<0.05。治疗后2周及治疗后4周,观察组患者日常生活活动能力量表(ADL)的评分均高于对照组患者,P<0.05。结论:对慢性硬膜下血肿患者进行微创血肿清除术时,与对其实施术中单纯置管引流+术后尿激酶溶解治疗相比,对其实施术中置管冲洗治疗的效果更好,能更有效地降低其并发症的发生率,增加其术后的引流量,缩短其拔管的时间和住院的时间,降低治疗的费用,提高其日常生活活动能力。Objective:To analyze and compare the effects of minimally invasive hematoma removal in patients with chronic subdural hematoma with intraoperative catheter irrigation and intraoperative simple catheter drainage plus postoperative urokinase dissolution.Methods:50 patients with chronic subdural hematoma who underwent minimally invasive hematoma removal in Dapu County People’s Hospital in recent years were selected as the research subjects.They were randomly divided into observation group and control group.Patients in both groups were treated with minimally invasive hematoma removal.During this period,patients in the observation group were treated with intraoperative catheter irrigation,and patients in the control group were treated with intraoperative simple catheter drainage+postoperative urokinase dissolution.Then,the clinical indicators of patients in the two groups were compared.Results:During and after treatment,the incidence of complications in observation group was lower than that in control group(P<0.05).The postoperative drainage volume of observation group was higher than control group,the time of extubation and hospitalization were shorter than control group,and the cost of treatment was lower than control group(P<0.05).2 weeks and 4 weeks after treatment,ADL scores in observation group were higher than those in control group(P<0.05).Conclusion:For patients with chronic subdural hematoma minimally invasive removal of hematoma,and its implementation in pure+postoperative catheter drainage urokinase dissolve treatment,compared to its implementation of lavage intraoperative treatment effect is better,can more effectively reduce the incidence of complications and increase the postoperative flow,shortening the decannulation time and hospitalization time,reduce the cost of treatment,To impr ove their abilities in activities of daily living.

关 键 词：慢性硬膜下血肿 微创血肿清除术 置管冲洗 置管引流 尿激酶 

分 类 号：R743[医药卫生—神经病学与精神病学]