两种手术方法治疗慢性硬膜下血肿的疗效比较  

Comparative analysis of two surgical methods in the treatment of chronic subdural hematoma

作　　者：冯雷 FENG Lei(Beijing Red Cross Emergency Rescue Center,Beijing,100192,China)

机构地区：[1]北京市红十字会急诊抢救中心,北京100192

出　　处：《当代医学》2022年第17期73-75,共3页Contemporary Medicine

摘　　要：目的比较微创穿刺引流术与神经内镜下血肿清除术治疗慢性硬膜下血肿的疗效。方法选取2018年10月至2020年2月本院收治的80例慢性硬膜下血肿患者作为研究对象,根据随机数字表法分为对照组和观察组,各40例。对照组行微创穿刺引流术治疗,观察组行神经内镜下血肿清除术治疗,比较两组手术情况、并发症发生率、病死率及临床疗效。结果观察组术中出血量少于对照组,血肿清除率高于对照组,手术时间短于对照组,术后6个月复发率低于对照组(P<0.05);两组并发症发生率、病死率比较差异无统计学意义;观察组治疗总有效率为95.00%,高于对照组的80.00%(P<0.05)。结论两种手术方法治疗慢性硬膜下血肿患者均具有一定疗效,但采取神经内镜下血肿清除术治疗能减少患者术中出血量,提高血肿清除率,缩短手术时间,降低术后复发率,临床疗效优于微创穿刺引流术。Objective To compare the efficacy of minimally invasive puncture and drainage and neuroendoscopic hematoma clearance in the treatment of chronic subdural hematoma.Methods 80 patients with chronic subdural hematoma in our hospital from October 2018 to February 2020 were selected as the research subjects,and they were divided into control group and observation group according to the random number table method,with 40 cases in each group.The control group was treated with minimally invasive puncture and drainage,and the observation group was treated with neuroendoscopic hematoma clearance.The operation conditions,incidence of complications,fafality rate and clinical efficacy were compared between the two groups.Results The intraoperative blood loss of the observation group was less than that of the control group,the hematoma clearance rate was higher than that of the control group,the operation time was shorter than that of the control group,and the recurrence rate was lower than that of the control group(P<0.05).There were no significant differences in the incidence of complications and fafality rate between the two groups.The total effective rate of treatment in the observation group was 95.00%,which was higher than 80.00%in the control group(P<0.05).Conclusion Both of the two surgical methods have certain efficacy in the treatment of chronic subdural hematoma,but neuroendoscopic hematoma clearance can reduce the amount of intraoperative blood loss,improve the hematoma clearance rate,shorten the operation time and reduce the postoperative recurrence rate.The clinical efficacy is better than that of minimally invasive puncture and drainage.

关 键 词：慢性硬膜下血肿 微创穿刺引流术 神经内镜下血肿清除术 

分 类 号：R651.1[医药卫生—外科学]