慢性硬膜下血肿双孔与单孔钻颅外引流术的治疗效果对比  

Comparison of Therapeutic Effect between Double Hole and Single Hole Extracranial Drainage for Chronic Subdural Hematoma

作　　者：闫瑜波 YAN Yubo(People’s Hospital of Zezhou County,Zezhou 048002,China)

机构地区：[1]泽州县人民医院,山西泽州048002

出　　处：《中外医学研究》2022年第13期123-126,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:对比双孔钻颅外引流术和单孔钻颅外引流术对慢性硬膜下血肿(CSDH)治疗效果。方法:回顾性分析泽州县人民医院2014年5月-2020年10月神经外科手术治疗的CSDH患者65例,根据术中颅骨钻孔数量分为双孔钻颅外引流术组(35例)和单孔钻颅外引流术组(30例),比较两组住院时间、手术时间、中国卒中量表(CSS)评分、C反应蛋白(CRP)、D-二聚体(D-D)、并发症和复发率。结果:双孔钻颅外引流术组手术时间、住院时间明显长于单孔钻颅外引流术组,差异有统计学意义(P<0.05)。两组术前CSS评分、CRP、D-D比较差异无统计学意义(P>0.05),两组术后CSS评分、CRP、D-D比较差异均无统计学意义(P>0.05),两组术后CSS评分、D-D均低于术前,差异有统计学意义(P<0.05)。双孔钻颅外引流术组并发症发生率、复发率均高于单孔钻颅外引流术组,差异有统计学意义(P<0.05)。结论:单孔钻颅外引流术治疗CSDH手术时间短、并发症和复发率较低,可在临床推广。Objective:To compare the difference between double hole drilling extracranial drainage and single hole drilling extracranial drainage in the treatment of chronic subdural hematoma (CSDH).Method:A total of 65 patients with CSDH treated by neurosurgery in People’s Hospital of Zezhou County from May 2014 to October 2020 were analyzed retrospectively.According to the number of intraoperative skull drilling,they were divided into double hole drilling extracranial drainage group (35 cases) and single hole drilling extracranial drainage group (30 cases).The length of hospital stay,operation time,Chinese stroke scale (CSS) score,C-reactive protein (CRP),D-dimer (D-D),complications and recurrence rate were compared between the two groups.Result:The operation time and hospital stay of double hole extracranial drainage were significantly longer than those of single hole extracranial drainage,the differences were statistically significant (P<0.05).There were no significant differences in preoperative CSS score,CRP and D-D between the two groups (P>0.05),and there were no significant differences in postoperative CSS score,CRP and D-D between the two groups (P>0.05).The postoperative CSS score and postoperative D-D in both groups were lower than those before operation,the differences were statistically significant (P<0.05).The complication rate and recurrence rate of double hole extracranial drainage were higher than those of single hole extracranial drainage (P<0.05).Conclusion:Single hole drilling extracranial drainage in the treatment of CSDH has the advantages of short operation time,low complication and recurrence rate,and can be widely popularized in clinic.

关 键 词：双孔钻颅外引流术 单孔钻颅外引流术 慢性硬膜下血肿 并发症 

分 类 号：R651.1[医药卫生—外科学]