小骨窗神经内镜辅助下血肿清除术联合软通道引流术治疗分隔型慢性硬膜下血肿的临床研究  

Clinical Study of Small Bone Window Neuroendoscopy-assisted Hematoma Removal Combined with Qin Channel Drainage in the Treatment of Separated Chronic Subdural Hematoma

作　　者：丁帅[1] 利文倩[1] DING Shuai;LI Wenqian(Department of Neurosurgery,Second People's Hospital of Qinzhou City,Qinzhou 535000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]钦州市第二人民医院神经外科,广西钦州535000

出　　处：《系统医学》2024年第14期118-121,共4页Systems Medicine

摘　　要：目的探讨小骨窗神经内镜辅助下血肿清除术联合软通道引流术在分隔型慢性硬膜下血肿中的临床应用价值。方法非随机选取2022年1月—2024年1月钦州市第二人民医院收治的93例分隔型慢性硬膜下血肿患者为研究对象,按照治疗方式的不同分为研究组(n=31)、对照1组(n=31)和对照2组(n=31)。研究组接受小骨窗神经内镜辅助下血肿清除术联合软通道引流术治疗,对照1组单用小骨窗神经内镜辅助下血肿清除术治疗,对照2组单用软通道引流术治疗。比较3组手术情况,以及术后血肿清除率。结果研究组、对照1组的手术时间(65.45±5.68)、(62.36±7.24)min均长于对照2组(44.59±6.13)min,差异有统计学意义(F=96.410,P均<0.05)。研究组引流时间短于对照组2;研究组住院时间短于对照1组和对照2组,对照1组短于对照2组,差异有统计学意义(P均<0.05)。研究组和对照1组血肿清除率均高于对照2组,差异有统计学意义(P均<0.05)。结论小骨窗神经内镜辅助下血肿清除术联合软通道引流术治疗分隔型慢性硬膜下血肿相对于二者单用能更有效地缩短引流时间和住院时间,提高患者术后血肿清除率。Objective To explore the clinical value of small bone window neuroendoscopy-assisted hematoma removal combined with soft channel drainage in the treatment of separated chronic subdural hematoma.Methods A total of 93 patients with septate chronic subdural hematoma admitted to the Second People's Hospital of Qinzhou City from January 2022 to January 2024 were non-randomly selected as study subjects and divided into study group(n=31),control group 1(n=31)and control group 2(n=31)according to different treatment methods.The study group was treated with small bone window neuroendoscopy-assisted hematoma removal combined with soft channel drainage,control group 1 was treated with small bone window neuroendoscopy-assisted hematoma removal alone,control group 2 was treated with soft channel drainage alone.The operation status and postoperative hematoma clearance rate of the three groups were compared.Results The operation time(65.45±5.68)min and(62.36±7.24)min in study group and control group 1 were longer than(44.59±6.13)min in control group 2,and the difference was statistically significant(F=96.410,P<0.05).The drainage time of the study group was shorter than that of the control group 2;the hospitalization time of the study group was shorter than that of the control group 1 and the control group 2,and that of the control group 1 was shorter than that of the control group 2,the differences were statistically significant(all P<0.05).The clearance rate of hematoma in study group and control group 1 was higher than that in control group 2,and the differences were statisti‐cally significant(all P<0.05).Conclusion Small bone window neuroendoscopy-assisted hematoma removal combined with soft channel drainage in the treatment of sR septate chronic subdural hematoma can more effectively shorten the drainage time and hospital stay,and improve the postoperative hematoma clearance rate.

关 键 词：神经内镜 小骨窗血肿清除术 软通道引流术 慢性硬膜下血肿 分隔型 

分 类 号：R651[医药卫生—外科学]