【摘要】 目的探讨外伤性硬膜外血肿的微创治疗方法及疗效。方法将98例符合条件的外伤性硬膜外血肿患者随机分配到传统手术治疗组和钻孔尿激酶治疗组,比较传统的骨瓣开颅血肿清除术和钻孔尿激酶灌注引流术治疗外伤性硬膜外血肿的治疗结果及疗效。结果钻孔尿激酶灌注引流术手术时间短、术中出血量少、并发症少、病人恢复快、住院时间短,与传统手术治疗组比较差异有显著性。结论钻孔尿激酶灌注引流术治疗外伤性硬膜外血肿是一种安全有效的治疗方法,值得临床推广应用。更多还原

【Abstract】 Objective To investigate the effect of a new minimally invasive method for the treatment of epidural hematoma. Methods 98 cases with traumatic epidural hematoma were allocated randomly into two groups: traditional treatment group and drilling & urokinase treatment group. We compared the effects of the two groups. Results Compared with the traditional treatment group, the drilling & urokinase treatment group had significantly fewer operation time, operative blood loss and complication. Patients recovered faster and had shorter hospital stay. Conclusions Treatment by drilling combined with lysis with urokinase and drainage was a safe and effective method for traumatic epidural hematoma.更多还原