甘肃医药
甘肅醫藥
감숙의약
Gansu Medical Journal
2014年
12期
902-905
,共4页
虹吸原理%引流术%硬膜下血肿%积液
虹吸原理%引流術%硬膜下血腫%積液
홍흡원리%인류술%경막하혈종%적액
siphon principle%drainage%subdural hematoma%effusion
目的：探究并总结利用虹吸原理自行设计单孔双管环形冲洗引流术治疗慢性硬膜下血肿或积液临床疗效。方法：选取2012年05月至2013年5月期间我科收治78例慢性硬膜下血肿患者，按照随机平均分组原则，分为治疗组39例，采用虹吸原理自行设计单孔双管环形冲洗引流术进行治疗；对照组39例，采用传统单孔单管冲洗引流术方式进行治疗。通过对两组患者血肿清除率、治愈率等疗效进行对比分析，并对患者进行为期一年的随访，观察其临床复发率与不良反应的发生率。结果：经过治疗，两组患者的病情都得到了一定程度上的改善，治疗组血肿清除率与治愈率分别为97.43%（38/39）、89.74%（35/39），对照组血肿清除率与治愈率分别为76.92%（30/39）、74.53%（29/39）。随访1年发现，治疗组患者未出现复发与不适；而对照组中25.64%（10/39）患者出现不同程度的复发，23.07%（9/39）的患者出现不适。结论：通过本项目的研究，将初步制定虹吸原理自行设计单孔双管环形冲洗引流术治疗慢性硬膜下血肿手术的操作规范，并为临床推广提供有效研究数据。
目的：探究併總結利用虹吸原理自行設計單孔雙管環形遲洗引流術治療慢性硬膜下血腫或積液臨床療效。方法：選取2012年05月至2013年5月期間我科收治78例慢性硬膜下血腫患者，按照隨機平均分組原則，分為治療組39例，採用虹吸原理自行設計單孔雙管環形遲洗引流術進行治療；對照組39例，採用傳統單孔單管遲洗引流術方式進行治療。通過對兩組患者血腫清除率、治愈率等療效進行對比分析，併對患者進行為期一年的隨訪，觀察其臨床複髮率與不良反應的髮生率。結果：經過治療，兩組患者的病情都得到瞭一定程度上的改善，治療組血腫清除率與治愈率分彆為97.43%（38/39）、89.74%（35/39），對照組血腫清除率與治愈率分彆為76.92%（30/39）、74.53%（29/39）。隨訪1年髮現，治療組患者未齣現複髮與不適；而對照組中25.64%（10/39）患者齣現不同程度的複髮，23.07%（9/39）的患者齣現不適。結論：通過本項目的研究，將初步製定虹吸原理自行設計單孔雙管環形遲洗引流術治療慢性硬膜下血腫手術的操作規範，併為臨床推廣提供有效研究數據。
목적：탐구병총결이용홍흡원리자행설계단공쌍관배형충세인류술치료만성경막하혈종혹적액림상료효。방법：선취2012년05월지2013년5월기간아과수치78례만성경막하혈종환자，안조수궤평균분조원칙，분위치료조39례，채용홍흡원리자행설계단공쌍관배형충세인류술진행치료；대조조39례，채용전통단공단관충세인류술방식진행치료。통과대량조환자혈종청제솔、치유솔등료효진행대비분석，병대환자진행위기일년적수방，관찰기림상복발솔여불량반응적발생솔。결과：경과치료，량조환자적병정도득도료일정정도상적개선，치료조혈종청제솔여치유솔분별위97.43%（38/39）、89.74%（35/39），대조조혈종청제솔여치유솔분별위76.92%（30/39）、74.53%（29/39）。수방1년발현，치료조환자미출현복발여불괄；이대조조중25.64%（10/39）환자출현불동정도적복발，23.07%（9/39）적환자출현불괄。결론：통과본항목적연구，장초보제정홍흡원리자행설계단공쌍관배형충세인류술치료만성경막하혈종수술적조작규범，병위림상추엄제공유효연구수거。
Objective:To explore the clinical curative effect of using siphon principle designed single hole double ring flushing drainage in treating chronic subdural hematoma or effusion. Methods: From May 2012 to May 2013 ,78 hospitalized patients with chronic subdural hematoma according to the stochastic averaging grouping principle were divided into treatment group(39 cases) which were used the siphon principle designed single hole double ring flushing drainage treatment; the control group (39 cases) were used the traditional single hole single pipe irrigation drainage. The curative effect rate,cure rate, one-year follow-up of patients,the incidence of observing the clinical recurrence rate and adverse reaction were compared and analyzed in two groups. Results: After treatment,the patient's condition has been a certain degree of improvement in two groups, hematoma clearance rate and cure rate were 97.43%(38/39),89.74%(35/39) in treatment group, hematoma clearance rate and cure rate were 76.92%(30/39),74.53%(29/39) in control group. After a follow-up of 1 years showed that the patients in the treatment group were not relapse and discomfort, while 25.64%(10/39) patients in the control group were different degrees of recurrence, 23.07%(9/39) of the patients were discomfort. Conclusion: Through the research of this project will initially formulated the siphon principle designed single hole double ring flushing operation standard drainage in the surgical treatment of chronic subdural hematoma,and provide effective data for the clinical research.
