神经内镜手术与钻孔引流术治疗分隔型慢性硬膜下血肿的疗效  

Therapeutic efficacy of neuroendoscopic surgery and burr hole drainage for segmented chronic subdural hematomas

作　　者：王林林 张亮 袁致海[1] 杨磊[1] 王凤鹿 高文文 赵海康[1] WANG Lin-lin;ZHANG Liang;YUAN Zhi-hai;YANG Lei;WANG Feng-lu;GAO Wen-wen;ZHAO Hai-kang(Department of Neurosurgery,The Second Affiliated Hospital of Xi'an Medical School,Xi'an 710038,China)

机构地区：[1]西安医学院第二附属医院神经外科,西安710038

出　　处：《中国临床神经外科杂志》2024年第6期355-357,361,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的比较神经内镜手术与钻孔引流术治疗分隔型慢性硬膜下血肿的疗效。方法回顾性分析2014年1月至2021年12月手术治疗的92例分隔型慢性硬膜下血肿的临床资料。35例采用神经内镜手术治疗(内镜组),57例采用钻孔引流术治疗(引流组)。术后随访6个月,记录术后并发症、死亡及血肿复发情况,采用改良Rankin量表(mRS)评分评估预后。结果两组术后6个月mRS评分、术后并发症发生率及病死率均无明显差异(P>0.05)。内镜组术后复发率(0)明显低于引流组(15.8%,9/57;P=0.035)。结论与钻孔引流术相比,神经内镜手术治疗分隔型慢性硬膜下血肿疗效相当,但是术后复发率更低。Objective To compare the therapeutic effects of neuroendoscopic surgery and burr hole drainage for patients with septated chronic subdural hematoma(sCSDH).Methods The clinical data of 92 patients with sCSDH treated by surgery from January 2014 to December 2021 were retrospectively analyzed.Thirty-five patients were treated with neuroendoscopic surgery(endoscopy group),and 57 patients were treated with burr hole drainage(drainage group).Postoperative follow-up was conducted for 6 months.Postoperative complications,death,and hematoma recurrence were recorded.The modified Rankin scale(mRS)score was used to evaluate the prognosis.Results There were no significant differences in the 6-month mRS score,postoperative complication rate and mortality rate between the two groups(P>0.05).The postoperative recurrence rate in the endoscopy group(0)was significantly lower than that(15.8%,9/57)in the drainage group(P=0.035).Conclusion Compared with burr hole drainage,neuroendoscopic surgery has equivalent therapeutic efficacy for patients with sCSDH,but has a lower postoperative recurrence rate.

关 键 词：分隔型慢性硬膜下血肿 神经内镜手术 钻孔引流术 疗效 

分 类 号：R651.15[医药卫生—外科学] R651.11[医药卫生—临床医学]