中国现代医药杂志
中國現代醫藥雜誌
중국현대의약잡지
MODERN MEDICINE JOURNAL OF CHINA
2015年
1期
44-46
,共3页
硬膜外血肿%颅骨钻孔%开颅手术
硬膜外血腫%顱骨鑽孔%開顱手術
경막외혈종%로골찬공%개로수술
Epidural hematoma%Burr hole%Craniotomy
目的:对颅骨钻孔与传统开颅手术治疗硬膜外血肿的临床效果进行对比分析。方法回顾性分析2013年1月~2014年9月来我院就诊的硬膜外血肿患者155例,分为两组,研究组78例,采用颅骨钻孔术及尿激酶引流治疗,对照组77例,采用传统开颅手术治疗,比较两组术中、术后各指标及并发症发生率。结果研究组术中出血量明显少于对照组,手术时间、住院时间均明显短于对照组,差异有统计学意义(P<0.05)。研究组并发症总发生率(15.38%)与对照组(36.36%)比较差异无统计学意义(P>0.05),感染、术后头痛、再出血、脑脊液漏等各种并发症发生率与对照组比较差异均无统计学意义(P>0.05)。结论颅骨钻孔手术治疗硬膜外血肿可明显减少术中出血量,缩短手术时间及住院时间,效果明显优于传统开颅手术。
目的:對顱骨鑽孔與傳統開顱手術治療硬膜外血腫的臨床效果進行對比分析。方法迴顧性分析2013年1月~2014年9月來我院就診的硬膜外血腫患者155例,分為兩組,研究組78例,採用顱骨鑽孔術及尿激酶引流治療,對照組77例,採用傳統開顱手術治療,比較兩組術中、術後各指標及併髮癥髮生率。結果研究組術中齣血量明顯少于對照組,手術時間、住院時間均明顯短于對照組,差異有統計學意義(P<0.05)。研究組併髮癥總髮生率(15.38%)與對照組(36.36%)比較差異無統計學意義(P>0.05),感染、術後頭痛、再齣血、腦脊液漏等各種併髮癥髮生率與對照組比較差異均無統計學意義(P>0.05)。結論顱骨鑽孔手術治療硬膜外血腫可明顯減少術中齣血量,縮短手術時間及住院時間,效果明顯優于傳統開顱手術。
목적:대로골찬공여전통개로수술치료경막외혈종적림상효과진행대비분석。방법회고성분석2013년1월~2014년9월래아원취진적경막외혈종환자155례,분위량조,연구조78례,채용로골찬공술급뇨격매인류치료,대조조77례,채용전통개로수술치료,비교량조술중、술후각지표급병발증발생솔。결과연구조술중출혈량명현소우대조조,수술시간、주원시간균명현단우대조조,차이유통계학의의(P<0.05)。연구조병발증총발생솔(15.38%)여대조조(36.36%)비교차이무통계학의의(P>0.05),감염、술후두통、재출혈、뇌척액루등각충병발증발생솔여대조조비교차이균무통계학의의(P>0.05)。결론로골찬공수술치료경막외혈종가명현감소술중출혈량,축단수술시간급주원시간,효과명현우우전통개로수술。
Objective To compare the efficacy of the burr hole operation with conventional craniotomy treating epidural hematoma. Methods 155 cases with epidural hematoma selected from Jan 2013 to Sep 2014 in our hospital were retrospec-tively analyzed. All of them were divided into two groups , the study group inclued 78 cases used urokinase burr hole drainage treatment, the control group included 77 cases used the traditional craniotomy. The incidence of complications were compared. Results The blood loss of the study group was significantly less than the control group. The operative time , the hospital stay time were significantly shorter than the control group, the difference was significant (P<0.05). The total complication rate of the study group(15.38%) compared with the control group (36.36%) showed no significant difference (P>0.05). There was no sig-nificant difference in the complication rate of infection, postoperative headache, bleeding, cerebrospinal fluid leakage between two groups (P>0.05). Conclusion Burr hole surgery treating epidural hematoma can significantly reduce blood loss, shorter operative time and hospital stay and is better than the traditional craniotomy.