微创手术冲洗引流治疗慢性硬膜下血肿的临床研究∗

摘要

Objective:To compare effect of minimally invasive surgical irrigation and drainage and tra-ditional drilling drainage on CSDH. Method:70 cases of patients with CSDH were selected and divided into research group and control group based on different surgical plans.Research group was given minimally inva-sive surgical irrigation and drainage, while control group was given traditional drilling drainage. The hemato-ma volume, pneumocephalus, drainage time, and clinical effects of both groups were observed. Result:Be-fore treatment, there was no significant difference between hematoma in both groups (P> 0.05). For re-search group, the residue amount was (11.85 ± 6.22) mL, pneumocephalus (4.34 ± 2.35) mL, and drain-age time (3.71 ± 0.66) days;for control group, the residue amount was (21.39 ± 10.70) mL, pneumoceph-alus (14.65 ± 9.68) mL, and drainage time (4.85 ± 0.80) days. The differences were statistically signifi-cant (P <0.05). The cure rate of research group was 57.14%, while 31.43% for the control group. The difference was significant ( P <0.05) . Conclusion: The clinical effect of minimally invasive surgical irriga-tion and drainage of CSDH is exact, with features of less trauma and simple operation, which can be used as preferred clinical treatment of CSDH.%目的：：观察微创手术冲洗引流与传统钻孔引流治疗慢性硬膜下血肿( Chronic subdural haematoma,CSDH)的疗效对比。方法：临床纳入CSDH患者70例,根据手术方案的不同分为研究组与对照组。研究组进行微创手术冲洗引流术,对照组进行传统钻孔引流术。观察两组患者钻孔前后血肿量、颅内积气、引流时间以及临床疗效。结果：治疗前,两组患者硬膜下血肿量差异无显著性( P>0.05)。研究组拔针前残液量为(11.85±6.22)mL、颅内积气(4.34±2.35)mL、引流时间(3.71±0.66)d；对照组拔针前残液量为(21.39±10.70)mL、颅内积气(14.65±9.68)mL、引流时间(4.85±0.80)d,差异均有显著性(P<0.05)。研究组治愈率为57.14%,对照组治愈率为31.43%,差异有显著性(P<0.05)。结论：微创手术冲洗引流治疗 CSDH 的临床疗效确切,具有创伤小,操作简单等优点,可作为临床治疗CSDH的首选。