CT定位下锥颅与钻孔引流治疗慢性硬膜下血肿急性加重期的效果分析  

Curing effectiveness of cone cranial and borehole drainage for acute exacerbation of chronic subdural hematoma under CT localization

作　　者：贾志坤 包翼亨 徐越 潘香 谭莉娜 周连银 张炘[1] JIA Zhikun;BAO Yiheng;XU Yue;PAN Xiang;TAN Li'na;ZHOU Lianyin;ZHANG Xin(Department of Cerebrovascular Surgery,Zhujiang Hospital of Southern Medical University,Guangzhou Guangdong 510280,China;Department of Neurosurgery,the Air Force Hospital of Southern Theater Command,Guangzhou Guangdong 510602,China)

机构地区：[1]南方医科大学珠江医院脑血管外科,广东广州510280 [2]解放军南部战区空军医院神经外科,广东广州510602

出　　处：《中华神经外科疾病研究杂志》2024年第2期25-29,共5页Chinese Journal of Neurosurgical Disease Research

基　　金：国家自然科学基金资助项目(81974177)。

摘　　要：目的 探讨在CT定位下锥颅与钻孔双孔置管引流治疗慢性硬膜下血肿(CSDH)急性加重期的效果分析.方法 纳入CSDH急性加重期患者56例,根据手术方式将其分为对照组(n=25)和观察组(n=31),在CT定位下,观察组选择锥颅双孔置管引流,对照组选择钻孔双孔置管引流,术后使用尿激酶灌注血肿腔易化引流.对比两组的疗效和康复情况.结果 观察组总体有效率与对照组比较,差异无统计学意义(P>0.05),观察组手术切口平均长度、手术中平均出血量、手术平均时间均值均优于对照组,差异具有统计学意义(P<0.05).结论 CT定位下锥颅与钻孔双孔置管引流均能定位精准并取得显著的效果,但前者操作更简单,局麻微创手术,手术时间短,患者痛苦小,效果好.Objective To investigate the clinical effectiveness of cone cranial and borehole cranial double-catheter drainage for acute exacerbation of chronic subdural hematoma under CT localization.Methods Fifty-six patients in the stage of acute exacerbation of chronic subdural hematoma were recruited.According to surgical approaches,these participants were divided into control group(n=25)and observation group(n=31).Under CT localization,the observation group underwent cone cranial double-catheter placement for drainage,while the control group received borehole drainage with dual-catheter placement.Postoperatively,urokinase was infused into the hematoma cavity to facilitate drainage.Therapeutic efficacy and rehabilitation between the two groups were compared.Results There was no statistically significant difference in the overall effective rate between the observation group and the control group(P>0.05).The observation group demonstrated statistically significant advantages over the control group in terms of the average incision length,average intraoperative blood loss,and average operation time(P<0.05).Conclusions CT localization of both cone cranial and borehole double-catheter drainage could localize accurately and achieve remarkable results.Nevertheless,the former was characterized by simpler operation,minimal invasive surgery under local anesthesia,shorter surgical duration,reduced patient discomfort,and superior outcomes in comparison with the latter.

关 键 词：慢性硬膜下血肿 CT定位 尿激酶 效果分析 

分 类 号：R651.1[医药卫生—外科学]