细孔钻颅微创治疗创伤性脑内血肿的疗效观察  

Observation on the Efficacy of Minimally Invasive Cranial Drilling in the Treatment of Traumatic Intracerebral Hematoma

作　　者：尹成[1] YIN Cheng(Neurosurgery Department,Changzhou Seventh People’s Hospital,Changzhou,Jiangsu,213000,China)

机构地区：[1]常州市第七人民医院神经外科,江苏常州213000

出　　处：《黑龙江医学》2022年第1期32-34,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨细孔钻颅微创治疗创伤性脑内血肿的临床疗效及术后并发症。方法:回顾性分析2018年1月—2020年6月常州市第七人民医院神经外科收治的60例创伤性脑内血肿患者,其中30例利用细孔钻颅微创治的纳入观察组,30例使用开颅术清除血肿的纳入对照组。收集两组患者的一般资料、手术前后格拉斯哥昏迷(GCS)评分、术后超敏C-反应蛋白(hs-CRP)、手术时间、住院时间、术后一个月内并发症发生情况,利用SPSS 20.0软件进行数据统计分析,比较两组数据有无统计学差异。结果:两组患者的术前GCS和术后GCS差异无统计学意义(t=0.356、0.334,P>0.05)。观察组患者的平均手术时间、平均住院时间和术后hs-CRP均低于对照组,差异有统计学意义(t=-20.015,-8.309,-7.466,P<0.05);患者术后一个月内,研究组并发症有2例,对照组9例,研究组显著低于对照组(χ^(2)=5.455,P<0.05)。结论:细孔钻颅微创治疗创伤性脑内血肿和开颅清除血肿治疗效果相当,但手术时间更短、患者创伤小、住院时间短、术后并发症低、值得在临床推广使用。Objective:To investigate the clinical efficacy and postoperative complications of minimally invasive cranial drilling in the treatment of traumatic intracerebral hematoma.Methods:60 patients with traumatic intracerebral hematoma treated in the hospital from January 2018 to June 2020 were analyzed retrospectively.Among them,30 patients with minimally invasive craniotomy were included in the observation group,and 30 patients who underwent craniotomy to remove hematoma were included in the control group.The general data of the two groups,GCS score before operation and after operation,postoperative hs-CRP,operation time,hospital stay and complications within 1 month after operation were collected and analyzed by SPSS 20.0 statistical software to compare the statistical difference between the two groups.Results:There was no statistically significant difference in preoperative GCS and postoperative GCS between the two groups(t=0.356,0.334,P>0.05),The average operation time,average hospital stay and postoperative hs-CRP in the observation group were significantly lower than those in the control group,with statistically significant difference(t=-20.015,-8.309,-7.466,P<0.05).Within one month after the operation,there were 2 cases of complications in the study group and 9 cases in the control group.The study group was significantly lower than the control group(χ^(2)=5.455,P<0.05).Conclusion:The effect of minimally invasive treatment of traumatic intracerebral hematoma is similar to that of craniotomy,but it has the advantages of shorter operation time,less trauma,short hospital stay and low postoperative complications,so it is worth popularizing in clinic.

关 键 词：细孔钻颅 创伤性脑内血肿 疗效 

分 类 号：R651.15[医药卫生—外科学]