微创改良穿刺术在慢性硬膜下血肿治疗中的临床应用  

Clinical application of minimally invasive modified puncture in the treatment of chronic subdural hematoma

作　　者：杨云振[1] 马晓莉[1] 丁晨哲 夏建学[1] 兰彦平 YANG Yunzhen;MA Xiaoli;DING Chenzhe;XIA Jianxue;LAN Yanping(Neurosurgery Department,People′s Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,China)

机构地区：[1]宁夏回族自治区人民医院神经外科,宁夏银川750002

出　　处：《宁夏医学杂志》2022年第11期993-995,共3页Ningxia Medical Journal

摘　　要：目的 探讨微创改良穿刺引流术在治疗慢性硬膜下血肿中的临床效果。方法 回顾性分析52例慢性硬膜下血肿患者,根据患者个人意愿,将患者分别纳入传统钻孔组(n=27)和微创改良组(n=25)。传统钻孔组在全麻下行钻孔引流治疗,微创改良组在局麻下采用改良后的锥颅穿刺引流治疗,比较2组患者治疗后的临床治疗效果、并发症发生率以及患者的手术切口长度、住院时间及住院总费用。结果 微创改良组患者总体治疗有效率为96.0%,略低于传统钻孔组,差异无统计学意义(P>0.05);微创改良组患者术后并发症发生率为8.0%,明显低于传统钻孔组,差异有统计学意义(P<0.05);且微创改良组患者的手术切口长度、住院时间及住院总费用均显著低于传统钻孔组,差异有统计学意义(P<0.05)。结论 改良穿刺引流术治疗慢性硬膜下血肿具有操作简单、微创、并发症少等优点,更适合临床应用。Objective To explore the clinical effect of minimally invasive modified puncture and drainage in the treatment of chronic subdural hematoma.Methods The data of 52 patients with chronic subdural hematoma was retrospectively analyzed.The patients were allocated in the traditional drilling group(n=27) and the minimally invasive modified group(n=25). The traditional drilling group was treated with drilling and drainage under general anesthesia, and the minimally invasive group was treated with improved cone puncture drainage under local anesthesia. The clinical treatment effect, complication rate, surgical incision length, hospitalization time and total hospitalization cost of the two groups were compared.Results The overall effective rate of minimally invasive group was 96% and the traditional drilling group(P>0.05);The incidence of postoperative complications in the minimally invasive improved group was 8.0%,significantly lower than that in the traditional drilling group(P<0.05);The length of incision, length of hospital stay and total cost of hospitalization in the minimally invasive modified group were significantly lower than those in the traditional drilling group, and the difference was statistically significant(P<0.05).Conclusion Modified puncture and drainage in the treatment of chronic subdural hematoma has the advantages of simple operation, minimally invasive and less complications, which is more suitable for clinical application.

关 键 词：改良 微创 钻孔 慢性硬膜下血肿 

分 类 号：R651[医药卫生—外科学]