微创穿刺引流联合尿激酶治疗慢性硬膜下血肿的效果观察  

Effect Observation of Minimally Invasive Puncture and Drainage Combined with Urokinase in Treatment of Chronic Subdural Hematoma

作　　者：何守刚 傅元贵[1] 蓝勇[1] 朱龙[1] 陈征新[1] 刘永泰[1] He Shou-gang;Fu Yuan-gui;Lan Yong;Zhu Long;Chen Zheng-xin;Liu Yong-tai(Department of Neurosurgery,Donghai County People's Hospital,Lianyungang 222300,Jiangsu Province,China)

机构地区：[1]东海县人民医院神经外科,江苏连云港222300

出　　处：《中国社区医师》2022年第26期25-27,共3页Chinese Community Doctors

摘　　要：目的:分析慢性硬膜下血肿患者采用微创穿刺引流联合尿激酶治疗的临床效果。方法:选取2018年1月-2021年5月东海县人民医院神经外科收治的60例慢性硬膜下血肿患者为研究对象,依据随机抽样法分为观察组和研究组,各30例。对照组应用钻孔引流术治疗,研究组应用微创穿刺引流联合尿激酶治疗,比对两组治疗效果、并发症发生率及疾病复发率。结果:研究组引流量多于对照组,拔管时间及住院时间均短于对照组,差异有统计学意义(P<0.05);研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率及复发率均低于对照组,差异有统计学意义(P<0.05)。结论:微创穿刺引流联合尿激酶治疗慢性硬膜下血肿的效果确切,可缩短拔管时间及住院时间,降低并发症发生率及复发率,提高治疗总有效率,值得大力推广。Objective: To analyze the clinical effect of minimally invasive puncture and drainage combined with urokinase in treatment of chronic subdural hematoma. Methods: From January 2018 to May 2021, 60 patients with chronic subdural hematoma who were admitted to the Department of Neurosurgery of Donghai County People’s Hospital were selected as the study subjects,and they were divided into observation group and study group according to random sampling method, with 30 cases in each group.The control group was treated with drilling drainage, and the study group was treated with minimally invasive puncture and drainage combined with urokinase treatment. The treatment effect, complication rate and disease recurrence rate between the two groups were compared. Results: The drainage volume of the study group was more than that of the control group, and the extubation time and hospitalization time were shorter than those of the control group, and the difference was statistically significant(P<0.05).The total effective rate of treatment in the study group was higher than that in the control group, and the difference was statistically significant(P<0.05). The incidence of complications and recurrence rates in the study group were lower than those in the control group, and the difference was statistically significant(P<0.05). Conclusion: Minimally invasive puncture and drainage combined with urokinase is effective in the treatment of chronic subdural hematoma, can shorten extubation time and hospitalization time,reduce the incidence of complications and recurrence rate, and improve the total effective rate of treatment, which is worthy of vigorous promotion.

关 键 词：慢性硬膜下血肿 尿激酶 微创穿刺引流 

分 类 号：R651.15[医药卫生—外科学]