扩大颅骨钻孔引流术在慢性硬膜下血肿治疗中的效果分析  

Analysis of the Effectiveness of Expanded Cranial Borehole Drainage in the Treatment of Chronic Subdural Hematoma

作　　者：秦涛 李建峰 QIN Tao;LI Jianfeng(Department of Neurosurgery,Yixing Second People's Hospital,Yixing,Jiangsu Province,214200 China)

机构地区：[1]宜兴市第二人民医院神经外科,江苏宜兴214200

出　　处：《中外医疗》2022年第34期108-111,116,共5页China & Foreign Medical Treatment

摘　　要：目的探究在治疗慢性硬膜下血肿中扩大颅骨钻孔引流术的应用效果。方法随机选择2019年5月-2020年7月于宜兴市第二人民医院进行救治的65例慢性硬膜下血肿患者作为研究对象。以入院时间内先后顺序将其分为对照组(n=33)、研究组(n=32)。对照组采用经皮锥颅引流术治疗,研究组采用扩大颅骨钻孔引流术治疗。对两组治疗效果、术后并发症发生情况、临床指标以及治疗前后生活质量改善情况展开对比。结果研究组治疗总有效率(93.75%)高于对照组(75.76%),差异有统计学意义(χ^(2)=4.040,P<0.05);与对照组相比,研究组并发症发生率更低,差异有统计学意义(P<0.05);研究组住院时间和手术时间均较对照组短,但差异无统计学意义(P>0.05);护理后,研究组生活质量较对照组更优,差异有统计学意义(P<0.05)。结论在治疗慢性硬膜下血肿中应用扩大颅骨钻孔引流术,患者治疗效果和生活质量得到显著提高,术后并发症发生率更低,安全性更佳。Objective To investigate the effect of the application of expanded cranial borehole drainage in the treatment of chronic subdural hematoma.Methods Sixty-five patients with chronic subdural hematoma treated in the Second People's Hospital of Yixing City from May 2019 to July 2020 were randomly selected as the research objects.The patients were divided into control group(n=33)and study group(n=32)according to the order of admission time.The control group was treated with percutaneous conical cranial drainage,and the study group was treated with extended cranial trepanation and drainage.The treatment effect,postoperative complications,clinical indicators and improvement of quality of life before and after treatment were compared between the two groups.Results The total treatment efficiency of the study group was 93.75%,which was higher than that of the control group(75.76%),and the difference was statistically significant(χ^(2)=4.040,P<0.05).Complication rates were lower in the study group compared with the control group,and the difference was statistically significant(P<0.05).The length of stay and duration of surgery in the study group were shorter than those in the control group,but the difference was not statistically significant(P>0.05).After care,the study group had better quality of life than the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of chronic subdural hematoma,the patient's treatment effect and quality of life were significantly improved with the application of expanded cranial borehole drainage,reduced the incidence of postoperative complications,and improved safety.

关 键 词：扩大颅骨钻孔引流术 经皮锥颅引流术 慢性硬膜下血肿 治疗效果 

分 类 号：R651[医药卫生—外科学]