微创引流术治疗外伤性硬脑膜外血肿的临床效果分析  

Clinical Effect of Minimally Invasive Drainage in the Treatment of Traumatic Epidural Hematoma

作　　者：梁鑫[1] 陈荣举 付强[2] LIANG Xin;CHEN Rongju;FU Qiang(Department of Neurosurgery,The First People's Hospital of Shenyang,Shenyang 110042,Liaoning Province,China;Department of Neurosurgery,Shengjing Hospital of China Medical University,Shenyang 110004,Liaoning Province,China)

机构地区：[1]沈阳市第一人民医院神经外科,沈阳110042 [2]中国医科大学附属盛京医院神经外科,沈阳110004

出　　处：《中国实用乡村医生杂志》2022年第1期57-59,共3页Chinese Practical Journal of Rural Doctor

基　　金：辽宁省自然科学基金(2019-MS-370)。

摘　　要：目的探讨外伤性硬脑膜外血肿患者采取微创引流术治疗的临床效果。方法选取沈阳市第一人民医院神经外科2019年6月-2020年12月收治的82例外伤性硬脑膜外血肿患者,依据治疗方案的不同分为观察组和对照组各41例。观察组行微创引流术治疗,对照组行传统开颅血肿清除术治疗。观察并比较两组手术相关指标、住院时间和并发症发生情况,以及治疗前后格拉斯哥昏迷量表评分情况。结果观察组的手术时间和住院时间均短于对照组,术中出血量少于对照组,差异均具有统计学意义(P<0.05)。治疗后两组格拉斯哥昏迷量表评分均较治疗前升高,且治疗后观察组格拉斯哥昏迷量表评分高于对照组,差异均具有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论外伤性硬脑膜外血肿患者采取微创引流术治疗与传统开颅手术相比,二者具有同样的治疗效果,但微创引流术的并发症更少,更有利于患者的神经功能恢复,具有临床推广价值。Objective To explore the clinical effect of minimally invasive drainage in patients with traumatic epidural hematoma. Methods A total of 82 patients with traumatic epidural hematoma treated by neurosurgery in the First People’s Hospital of Shenyang from June 2019 to December 2020 were included in the study. They were divided into observation group and control group with 41 cases in each group according to the different treatment strategy. The observation group were treated with minimally invasive drainage, and the control group were treated with routine craniotomy hematoma removal. The perioperative indexes, length of hospital stay,incidence of complications, and the scores of Glasgow Coma Scale(GCS) before and after treatment were compared between the two groups. Results The operation time and hospital stay in the observation group were significantly shorter than those in the control group, and the amount of intraoperative bleeding was significantly less than that in the control group(P < 0.05). After treatment, the GCS scores of the two groups were improved, and the GCS scores of the observation group were significantly better than those of the control group(P < 0.05). The incidence of complications in the observation group was significantly lower than that in the control group(P < 0.05).Conclusion For patients with traumatic epidural hematoma, minimally invasive drainage has the same therapeutic effect and fewer complications compared with traditional craniotomy, which is more conducive to the recovery of neurological function and has the value of clinical application.

关 键 词：外伤性硬脑膜外血肿 手术治疗 微创引流术 开颅 效果 

分 类 号：R651[医药卫生—外科学]