微创引流术和开颅术治疗脑外伤硬脑膜外血肿临床随机对照研究.docVIP

微创引流术和开颅术治疗脑外伤硬脑膜外血肿临床随机对照研究 　　[摘要] 目的 研究对比微创引流术与开颅术治疗脑外伤硬脑膜外血肿的临床疗效。方法 随机选取该院收治的脑外伤硬脑膜外血肿患者100例，时间为2013年1月―2015年1月，随机分组，对照组50例进行开颅手术，观察组50例进行微创引流手术。对比两组的住院时间、再出血发生率以及颅脑缺损发生情况。结果 与对照组的住院时间（12.67±1.92），相比，观察组患者的住院时间（8.43±1.39），明显更短（P0.05）。观察组患者的再出血率（4%）和颅脑缺损发生率（0%）均较对照组的（18%、10%）明显更低（P0.05）。结论 与开颅术相比，微创引流术应用于脑外伤硬脑膜外血肿的临床治疗中，能够有效缩短住院时间，减少再出血和颅脑缺损的发生。 　　[关键词] 脑外伤硬脑膜外血肿；微创引流术；开颅术 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2016）01（a）-0113-02 　　Comparative Research on Minimal Invasive Drainage and Craniotomy in Treatment of Cerebral Injury of Epidural Hematoma 　　LI Yuan 　　Aural Sursery， Yixing traditional Chinese medicine hospital， Yixing， Jiangsu Province， 214200 China 　　[Abstract] Objective To research and compare the clinical curative effect of minimal invasive drainage and craniotomy in treatment of cerebral injury of epidural hematoma. Methods 100 cases of patients with cerebral injury of epidural hematoma treated from January 2013 to January 2015 were selected and randomly divided into two groups with 50 cases in each， the control group were given craniotomy， the observation group were given minimal invasive drainage， the length of stay， re-hemorrhage incidence and craniocerebral defect occurrence of the two groups were compared. Results The length of stay in the observation group was obviously shorter than that in the control group （12.67±1.92）d vs （8.43±1.39）d （P0.05）， the re-hemorrhage incidence and craniocerebral defect occurrence in the observation group were obviously lower than those in the control group， （4%，0% vs 18%，10%） （P0.05）. Conclusion Compared with craniotomy， minimal invasive drainage in clinical treatment of cerebral injury of epidural hematoma can effectively shorten the length of stay and reduce the occurrence of re-hemorrhage and craniocerebral defect. 　　[Key words] Cerebral injury of epidural hematoma； Minimal invasive drainage； Craniotomy 　　目前，在临床上，对脑外伤硬脑膜外血肿的治疗以手术为主，主要包括开颅手术和微创引流术[1]。近年来，微创引流术在脑外伤硬脑膜外血肿的临床治疗中逐渐得到广泛的应用，但临床上关于开颅手术与微创引流