【摘要】 目的探讨纤维支气管镜在慢性硬膜下血肿中的应用价值,为临床工作提供一种可靠的治疗手段。方法选取42例慢性硬膜下血肿患者,按照随机分配原则将其分为实验组及对照组,实验组21例患者在纤维支气管镜下行手术治疗,对照组21例患者行传统钻孔清除术,比较两组治疗效果及不良反应。结果实验组患者经手术治疗后的有效率高于对照组,比较差异有统计学意义(P<0.05);实验组不良反应发生率虽然较对照组低,但差异未见统计学意义(P>0.05)。结论慢性硬膜下血肿患者的手术治疗中加用纤维支气管镜,可提高手术总体有效率,且不增加不良反应发生率,值得临床推广应用。更多还原

【Abstract】 Objective To investigate the application value of fiberoptic bronchoscope in the treatment of chronic subdural hematoma and provide a reliable treatment for clinical work. Methods Forty-two patients with chronic subdural hematoma were selected and randomly divided into experimental group and control group,with 21 cases in each group. The patients in experimental group received surgery with fiberoptic bronchoscope,while the patients in control group were treated with traditional drilling. The treatment effects and adverse reactions were compared between the two groups. Results The effective rate of surgical treatment in the experimental group was higher than that of the control group,and there was significant difference( P < 0. 05). The incidence of postoperative adverse reaction in the experimental group was lower than that of the control group,but there was no significant difference( P >0. 05). Conclusion Fiberoptic bronchoscope in the treatment of chronic subdural hematoma can improve the effective rate of surgery and doesn’t increase the incidence of adverse reactions,and it is worthy of widely clinical application.更多还原