基层医院微创引流术与开颅术治疗硬脑膜外血肿疗效比较.docVIP

精品论文 参考文献 基层医院微创引流术与开颅术治疗硬脑膜外血肿疗效比较 陈利涛 张丽兴 蔡少松 黄少周 巫国辉 　　（广东省揭阳市揭西县人民医院神经外科 广东揭阳 515400） 　　【摘要】目的 比较微创引流术与开颅术式在基层医院治疗脑外伤硬脑膜外血肿的临床效果。方法 回顾性分析的100例急性或亚急性硬脑膜外血肿患者，根据术式分为研究组（微创引流术）48例及对照组（开颅术式）52例。对比两组间出血量、手术时间、置管时间、住院时间及术后并发症。结果 两组在出血量、手术、置管及住院时间有统计学差异。两组均无出现死亡或致残病例。两组在感染、头痛、再出血、癫痫及脑膜粘连的例数构成方面无显著性差异。结论 基层医院微创引流术治疗硬膜外血肿优于开颅术。 　　【关键词】硬膜脑外血肿 微创引流术 开颅术 　　【中图分类号】R651 【文献标识码】A 【文章编号】2095-1752（2013）33-0047-01 　　Comparison of Efficacy of Minimally Invasive Aspiration and Craniectomy on Epidural Hematoma at PrimaryＨospital 　　Litao Chen Lixing Zhang Shaosong Cai Shaozhou Huang Guohui Wu 　　(Department of Neurosurgery, Peoples Hospital of Jiexi County, Jieyang, Guangdong Province , China 515400) 　　【Abstract】 Objective To compare the clinical effect of minimally invasive drainage and craniotomyfor treatment of traumatic brain injury with epidural hematoma at Primary hospital. Methods According to the type of the operations, 100 patients with acute or subacute epidural hematoma were divided into study group (minimally invasive aspiration) 48 cases and the control group (craniotomy) 52 cases by retrospective analysis. Operation time, bleeding volume, indwelling time, hospitalization time and postoperative complications were compared in two groups. Results there were significant differences between two groups in the amount of bleeding, operation time, tube time and hospitalization time differences. No death or disability cases was found in both two groups. There was no no significant differences between two groups in the infection, bleeding, headache, epilepsy and meningeal adhesions. Conclusion Minimally invasive aspiration in the treatment of epidural hematoma at the grass-roots hospital is better than that of craniotomy. 　　【Keywords】 epidural hematoma minimally invasive aspiration craniotomy 　　硬脑膜外血肿是神经外科的常见病，约占外伤性颅内血肿的30%，大多属于急性型。[1]目前硬膜脑外血肿的治疗方法包括传统的开颅手术及微创引流术。本文通过回顾性分析，比较微创引流术与开颅术式在基层医院治疗脑外伤硬脑膜外血肿的临床