改良锥孔穿刺引流治疗慢性硬膜下血肿的疗效观察  

Observation of the efficacy of modified cone puncture and drainage in the treatment of chronic subdural hematoma

作　　者：朱道平[1] 卢智[1] 李奕秋 沈冠豪[1] ZHU Dao-ping;LU Zhi;LI Yi-qiu(Yingde People’s Hospital,Yingde 513000,China)

机构地区：[1]广东省英德市人民医院,513000

出　　处：《中国现代药物应用》2022年第1期30-32,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究改良锥孔穿刺引流治疗慢性硬膜下血肿的疗效。方法 60例慢性硬膜下血肿患者,随机分为观察组和对照组,每组30例。观察组患者给予改良锥孔穿刺引流治疗,对照组患者给予传统穿刺引流治疗。对比两组患者手术指标、治疗效果及术后第1、3天血肿残留量。结果观察组患者切口长度(0.51±0.02)cm短于对照组的(3.65±1.85)cm,术中出血量(6.25±1.45)ml少于对照组的(56.38±1.88)ml,手术时间(20.32±1.45)min短于对照组的(38.65±1.74)min,差异具有统计学意义(P<0.05)。两组患者住院时间对比差异无统计学意义(P>0.05)。两组患者治疗总有效率对比差异无统计学意义(P>0.05)。两组患者术后第1、3天血肿残留对比差异无统计学意义(P>0.05)。结论改良锥孔穿刺引流治疗慢性硬膜下血肿能够缩短手术时间和手术切口长度,减少术中出血量,不影响手术效果及住院时间,更加微创,值得临床推广应用。Objective To investigate the efficacy of modified cone puncture and drainage in the treatment of chronic subdural hematoma. Methods A total of 60 patients with chronic subdural hematoma were randomly divided into observation group and control group, with 30 cases in each group. Patients in the observation group were treated with modified cone puncture and drainage, and patients in the control group were treated with traditional puncture and drainage. The surgical indicators, therapeutic effects, and residual hematoma on the 1 st and 3 rd day after operation were compared between the two groups. Results The incision length(0.51±0.02) cm of the observation group was shorter than(3.65±1.85) cm of the control group, the intraoperative blood loss(6.25±1.45) ml was less than(56.38±1.88) ml of the control group, and the operation time(20.32±1.45) min was shorter than(38.65±1.74) min of the control group. All the differences were statistically significant(P<0.05). There was no statistically significant difference in hospitalization time between the two groups(P>0.05).There was no statistically significant difference in the total effective rate of treatment between the two groups(P>0.05). The differences in residual hematoma on the 1 st and 3 rd day after operation between the two groups were not statistically significant(P>0.05). Conclusion Modified cone puncture and drainage for chronic subdural hematoma can shorten the operation time and surgical incision length, reduce intraoperative blood loss, without affecting the surgical effect and hospitalization time. It is more minimally invasive, and is worthy of clinical promotion and application.

关 键 词：改良锥孔穿刺引流 手术时间 慢性硬膜下血肿 疗效 

分 类 号：R651.1[医药卫生—外科学]