微创联合开颅手术治疗创伤性颅内多发血肿的效果观察  

Observation on therapeutic effect of minimally invasive surgery combined with craniotomy on traumatic multiple intracranial hematomas

作　　者：武智荣 Wu Zhirong(Department of Neurosurgery,Yuncheng First Hospital,Yuncheng 044000,China)

机构地区：[1]运城第一医院神经外科,运城044000

出　　处：《中国实用医刊》2023年第9期24-26,共3页Chinese Journal of Practical Medicine

摘　　要：目的:探讨微创联合开颅手术治疗创伤性颅内多发血肿(TMIH)的临床效果。方法:抽取2020年6月至2022年6月运城第一医院收治的TMIH患者72例,均予以微创联合开颅手术治疗,记录患者的手术时间、住院时间及并发症发生情况,分析其临床疗效。结果:72例患者手术时间为(75.92±18.42)min,住院时间为(20.13±2.96)d;手术期间发生严重出血2例,感染2例,器官功能衰竭1例,并发症发生率为6.94%;72例患者均随访半年以上,对其临床疗效进行评价,其中恢复良好51例,预后良好率为70.83%。结论:TMIH患者采用微创联合开颅手术治疗,手术及住院时间短,并发症少,预后较好。Objective To investigate the effect of minimally invasive surgery combined with craniotomy on traumatic multiple intracranial hematomas(TMIH).MethodssSeventy-two patients with TMIH admitted to Yuncheng First Hospital from June 2020 to June 2022 were selected,and they all were treated by minimally invasive surgery combined with craniotomy.The surgical time,hospital stay,and incidence of complications were recorded.And the clinical effect was analyzed.Results The operation time of the 72 patients was(75.92±18.42)minutes,and the hospital stay was(20.13±2.96)days;there were 2 cases severe hemorrhage,2 cases infection and 1 case organ failure during the operation,and complication rate was 6.94%.All the 72 patients were followed up for more than half a year to evaluate the efficacy.Among them,51 cases recovered well,with a good prognosis rate of 70.83%.Conclusions The minimally invasive surgery combined craniotomy for TMIH has short operation time and hospital stay,fewer complications and good prognosis.

关 键 词：微创手术 开颅手术 创伤性颅内多发血肿 预后效果 

分 类 号：R651.12[医药卫生—外科学]