CAJ | 학술논문

目的：探讨用微创穿刺引流术治疗慢性硬膜下血肿的临床效果。方法：对2010年12月～2013年12月期间我院收治的80例慢性硬膜下血肿患者的临床资料进行回顾性研究。我们将这80例患者随机分为观察组和对照组，每组各有40例患者。我院使用微创穿刺引流术对观察组患者进行治疗，使用传统的钻孔引流术对对照组患者进行治疗。治疗结束后，比较两组患者手术的时间、术后硬膜下的残余血量、住院的时间和发生术后并发症的情况。结果：观察组患者手术的时间、术后硬膜下的残余血量和住院的时间均明显少于对照组患者，二者相比差异具有显著性（P<0.05）。两组患者发生术后并发症的几率大体相当，二者相比无显著性差异（P>0.05）。结论：用微创穿刺引流术治疗慢性硬膜下血肿疗效好，安全性高，可有效地减少患者手术的时间、住院的时间和术后硬膜下的残余血量。该手术可作为治疗慢性硬膜下血肿的首选方法。
목적：탐토용미창천자인류술치료만성경막하혈종적림상효과。방법：대2010년12월～2013년12월기간아원수치적80례만성경막하혈종환자적림상자료진행회고성연구。아문장저80례환자수궤분위관찰조화대조조，매조각유40례환자。아원사용미창천자인류술대관찰조환자진행치료，사용전통적찬공인류술대대조조환자진행치료。치료결속후，비교량조환자수술적시간、술후경막하적잔여혈량、주원적시간화발생술후병발증적정황。결과：관찰조환자수술적시간、술후경막하적잔여혈량화주원적시간균명현소우대조조환자，이자상비차이구유현저성（P<0.05）。량조환자발생술후병발증적궤솔대체상당，이자상비무현저성차이（P>0.05）。결론：용미창천자인류술치료만성경막하혈종료효호，안전성고，가유효지감소환자수술적시간、주원적시간화술후경막하적잔여혈량。해수술가작위치료만성경막하혈종적수선방법。
Objective: To study the clinical therapeutic effect analysis by minimally invasive puncture and drainage in the treatment of chronic subdural hematoma. Methods: 80 cases of patients with chronic subdural in our hospital from 2010 December to 2013 December were hematoma as the object of study, all the patients were in accordance with the randomly into observation group and control group, each group had 40 cases. The control group adopted trepanation and drainage, observation group adopt minimally invasive puncture drainage. The two groups were observed in patients with various indexes. Results: in the observation group, the average operation time, postoperative residual volume, average time of hospitalization was significantly better than the control group, the difference was significant (P<0.05), two groups were no statistically significant differences in the incidence (P>0.05). Conclusion: for the patients with chronic subdural hematoma by minimally invasive puncture drainage can effectively improve the cure rate, reduce the operation time and the average hospitalization time, is worthy of clinical application.