中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
8期
38-39
,共2页
李香迎%张成刚%展如才%刘涛%田爱民
李香迎%張成剛%展如纔%劉濤%田愛民
리향영%장성강%전여재%류도%전애민
改良微创手术%顽固性硬膜下积液%常规微创术引流
改良微創手術%頑固性硬膜下積液%常規微創術引流
개량미창수술%완고성경막하적액%상규미창술인류
Imporoved minimally invasive surgery%Traumatic intractable%Subdural hematoma%Conventional minimally invasive surgery drainage
目的 比较改良微创硬膜下积液引流手术方法与常规微创引流手术方法的效果.方法 回顾性分析两组术后1 d、10 d头颅CT扫描,测量两组患者硬膜下残留气体和液体量并进行统计学分析.结果 改良引流组仅有微量气体和液体残留,而常规法引流组则有较多气体和液体残留,两组积气和液体残留量比较有显著统计学意义(P<0.001).结论 改良微创硬膜下积液引流手术是治疗顽固性硬膜下积液的更好的方法,符合生理,引流彻底,手术效果好.
目的 比較改良微創硬膜下積液引流手術方法與常規微創引流手術方法的效果.方法 迴顧性分析兩組術後1 d、10 d頭顱CT掃描,測量兩組患者硬膜下殘留氣體和液體量併進行統計學分析.結果 改良引流組僅有微量氣體和液體殘留,而常規法引流組則有較多氣體和液體殘留,兩組積氣和液體殘留量比較有顯著統計學意義(P<0.001).結論 改良微創硬膜下積液引流手術是治療頑固性硬膜下積液的更好的方法,符閤生理,引流徹底,手術效果好.
목적 비교개량미창경막하적액인류수술방법여상규미창인류수술방법적효과.방법 회고성분석량조술후1 d、10 d두로CT소묘,측량량조환자경막하잔류기체화액체량병진행통계학분석.결과 개량인류조부유미량기체화액체잔류,이상규법인류조칙유교다기체화액체잔류,량조적기화액체잔류량비교유현저통계학의의(P<0.001).결론 개량미창경막하적액인류수술시치료완고성경막하적액적경호적방법,부합생리,인류철저,수술효과호.
Objective To compare the therapeutic efficacy of improved minimally invasive surgery drainage with that of conventional minimally invasive surgery drainage in traunmtic intractable subdural hematoma.Methods Fifteen patients with traumatic intractable subdural hematoma under going improved minimally invasive surgery (improved group),and 15 patients with uaumatic intractable subdural hematoma under going conventional minimally invasive surgery drainage (conventional group) were analyzed retrospectively.The volumes of air and fluid of residual haematoma cavity on the CT sears obtained on day 1 and on day 10 postoperation in two groups were analyzed.Results Improved group had only trace residual gas and fluid.However conventional group had a large amount of subdurai air and fluid.The residual air and fluid in improved group wero significantly less than those in conventional group.There was statistically significant diference in the volumes of residual air and fluid between the two groups(P<0.001).Conclusion Improved minimally invasive surgery drainage is much better than conventional drainage for traumatic intractable subdural hematoma;it conformg to physiology,drains completely,and achieres satisfactory operative effect.