中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
10期
1466-1467
,共2页
硬膜下血肿%引流
硬膜下血腫%引流
경막하혈종%인류
Subdural hematoma%Drainage
目的 探讨单孔双管闭式引流治疗慢性硬膜下血肿的临床疗效.方法 将104例慢性硬膜下血肿患者随机分为三组:单孔双管引流组(观察组,37例)、单孔单管额部引流组(对照组1,34例)及单孔单管顶枕部引流组(对照组2,33例).观察两组患者手术情况及住院时间、术后恢复情况及复发情况等指标.结果 三组患者在手术时间、术中出血量、平均住院时间、术后住院时间及住院费用差异均无统计学意义(均P＞0.05).观察组中线恢复情况均明显高于对照组1、对照组2(均P＜0.05)；颅内积气量由低到高依次为观察组、对照组2、对照组1,残留液体量由低到高依次为观察组、对照组1、对照组2,差异均有统计学意义(均P＜0.05).全部患者均无严重并发症发生.结论 单孔双管闭式引流具有较好的临床疗效,可显著减少术后残留液体量和颅内积气.
目的 探討單孔雙管閉式引流治療慢性硬膜下血腫的臨床療效.方法 將104例慢性硬膜下血腫患者隨機分為三組:單孔雙管引流組(觀察組,37例)、單孔單管額部引流組(對照組1,34例)及單孔單管頂枕部引流組(對照組2,33例).觀察兩組患者手術情況及住院時間、術後恢複情況及複髮情況等指標.結果 三組患者在手術時間、術中齣血量、平均住院時間、術後住院時間及住院費用差異均無統計學意義(均P＞0.05).觀察組中線恢複情況均明顯高于對照組1、對照組2(均P＜0.05)；顱內積氣量由低到高依次為觀察組、對照組2、對照組1,殘留液體量由低到高依次為觀察組、對照組1、對照組2,差異均有統計學意義(均P＜0.05).全部患者均無嚴重併髮癥髮生.結論 單孔雙管閉式引流具有較好的臨床療效,可顯著減少術後殘留液體量和顱內積氣.
목적 탐토단공쌍관폐식인류치료만성경막하혈종적림상료효.방법 장104례만성경막하혈종환자수궤분위삼조:단공쌍관인류조(관찰조,37례)、단공단관액부인류조(대조조1,34례)급단공단관정침부인류조(대조조2,33례).관찰량조환자수술정황급주원시간、술후회복정황급복발정황등지표.결과 삼조환자재수술시간、술중출혈량、평균주원시간、술후주원시간급주원비용차이균무통계학의의(균P＞0.05).관찰조중선회복정황균명현고우대조조1、대조조2(균P＜0.05)；로내적기량유저도고의차위관찰조、대조조2、대조조1,잔류액체량유저도고의차위관찰조、대조조1、대조조2,차이균유통계학의의(균P＜0.05).전부환자균무엄중병발증발생.결론 단공쌍관폐식인류구유교호적림상료효,가현저감소술후잔류액체량화로내적기.
Objective To investigate the efficacy of single-hole closed drainage with double tube in the treatment of subdural hematoma.Methods The clinical data of 104 cases with subdural hematoma were analyzed retrospectively,among which 37 cases underwent single-hole closed drainage with double tube( Observation group),34 cases underwent one tube in forehead ( Control group 1 ) and 33 cases ( Control group 2) underwent one tube in parietooccipial.Results Compared with the control group 1 and 2,the operation time,the blood loss,the average hospital stay,the postoperative hospital stay and the cost in observation group had no statistically significant difference( all P ＞0.05).The postoperative midline recovery,the residual liquid and the pneumocephalus in observation group had statistically significant difference compared with the other two groups( all P ＜ 0.05 ).All patients had no serious complications.Conclusion The single-hole closed drainage with double tube was a safe and effective method for the treatment of subdural hematoma.
