不同手术方法治疗慢性硬膜下血肿的临床作用对比分析  

Comparative analysis of clinical effects of different surgical methods in the treatment of chronic subdural hematoma

作　　者：桑德刚 Sang Degang(Department of Surgery,The Second People's Hospital of Chiping District,Liaocheng City,Shandong Liaocheng 252100)

机构地区：[1]聊城市茌平区第二人民医院外科,山东聊城252100

出　　处：《中国社区医师》2021年第19期37-38,共2页Chinese Community Doctors

摘　　要：目的:对比传统钻孔引流手术与新型微创手术治疗慢性硬膜下血肿的效果。方法:2018年1月-2019年12月收治慢性硬膜下血肿患者80例,按手术方式不同分为两组。观察组实施新型微创术;对照组实施传统钻孔术。比较两组治疗效果。结果:观察组切口长度、手术时间、术中出血量及住院时间均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:实施新型微创术治疗慢性硬膜下血肿的效果更好,可减少创伤与出血量,缩短住院时间,安全可靠。Objective:To compare the effect of traditional drilling and drainage and new minimally invasive surgery in the treatment of chronic subdural hematoma.Methods:From January 2018 to December 2019,80 patients with chronic subdural hematoma were selected and divided into two groups according to different surgical methods.Observation group was treated with new microtrauma.The control group received traditional drilling.The therapeutic effects between the two groups was compared.Results:The incision length,operation time,intraoperative blood loss volume and hospital stay in the observation group were all lower than the control group,with the differences were statistically significant(P<0.05).The incidence of complications in the observation group was also lower than the control group,with the difference was statistically significant(P<0.05).Conclusion:Micro-invasive treatment of chronic subdural hematoma has better effect,can reduce the amount of trauma and bleeding volume,shorten the length of hospital stay,safe and reliable.

关 键 词：慢性硬膜下血肿 钻孔术 微创术 疗效 并发症 

分 类 号：R651.1[医药卫生—外科学]