目的：研究微创穿刺治疗老年慢性硬膜下血肿(CSDH)的临床疗效。方法选择2014年1月—2015年12月该院收治的老年CSHD患者78例,依据随机数字表法分为微创穿刺组(n=39)与钻孔引流组(n=39)。微创穿刺组行微创穿刺治疗,钻孔引流组行钻孔引流治疗。比较两组术前血肿量及拔针前液体残留量、引流时间及颅内积气等手术相关指标及临床疗效。结果两组术前血肿量差异无统计学意义(P>0.05)；微创穿刺组拔针前液体残留量(15.53±1.86)mL、引流时间(4.05±0.41)d及术后颅内积气(3.83±0.42)均低于钻孔引流组液体残留量(20.89±2.95)mL、引流时间(5.28±0.53)d及术后颅内积气(11.64±1.09)d,差异有统计学意义(P<0.05)。微创穿刺组总有效率(97.44%)高于钻孔引流组(82.05%)d,差异有统计学意义(P<0.05)。结论微创穿刺治疗老年CSDH疗效显著。%Objective minimally invasive treatment of senile chronic subdural Hematoma (CSDH) clinical efficacy. Methods From January 2014 to December 2015 forecast of 78 cases of elderly patients with CSHD admitted to hospital in December, based on a random number table divided into minimally invasive Group (n=39) and drainage Group (n=39).Group of minimally invasive percutaneous minimally invasive puncture, drainage group treated with trepanation. Preoperative hematoma volume and compared between the two groups before the needle liquid residues, drain of time and intracranial pneumatosis of operation parameters and clinical efficacy. Results No significant postoperative hematoma volume before (P>0.05);Minimally invasive puncture group before removal of the pins of residual liquid quan-tity (15.53±1.86)mL drainage time (4.05± 0.41)d and postoperative intracranial pneumatosis (3.83±0.42) were lower than that of drilling drainage group liquid residues (20.89±2.95)mL, time (5.28 ± 0.53)d and surgical drainage of intracranial pneumatosis (11.64±1.09),Minimally invasive total efficiency (97.44%) higher than the drainage Group (82.05%), a sta-tistically significant (P<0.05). Conclusion Minimally invasive treatment for elderly patients with CSDH effect is signifi-cant.
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