【摘要】 目的探讨改良钻孔置T型管引流术治疗慢性硬膜下血肿患者的清除效果及并发症发生情况的临床研究。方法回顾性方便选取2010年1月—2015年12月于该院神经外科诊治的慢性硬膜下血肿患者52例,随机分为两组,其中对照组28例患者采用钻孔传统硅胶导管引流,研究组24例患者采用改良钻孔T型管引流术,术后统计两组患者的术中出血量、血肿清除率及并发症发生情况。结果 (1)在术后随访的20个月,两组患者均痊愈出院,而其中研究组患者的血肿清除率为(91.35±6.72)%,明显高于对照组患者的(68.24±5.91)%(P<0.05);(2)研究组患者中有1例出现颅低压综合征,2例硬膜下积液,对照组患者中2例并发急性硬膜外血肿,1例切口哆裂,5例硬膜下少量积液,1例出现局灶性癫痫发作,2例术后出现颅低压综合征,并发症发生率分别为12.50%和39.29%,差异有统计学意义(P<0.05)。结论改良钻孔置T型管引流术对治疗慢性硬膜下血肿患者的血肿清除效果明显,可有效预防术后并发症的发生,提高临床手术效果和预后。更多还原

【Abstract】 Objective This paper tries to investigate the effect of scavenging effect and complication of modified drilling ttube drainage in patients with chronic subdural hematoma. Methods 52 patients with chronic subdural hematoma in the department of neurosurgery at the hospital from January 2010 to December 2015 were retrospectively chosen. They were randomly divided into two groups, 28 patients in the control group were treated with conventional silicone catheter drainage,and the study group of 24 patients was treated with modified drilling t-tube drainage. The intraoperative blood loss,hematoma clearance and complications of the two groups after surgery were statistically analyzed. Results(1) At the 20 months of follow-up, the two groups of patients were discharged, and the hematopoietic clearance rate of the study group was(91.35 ± 6.72)%, significantly higher than that of the control group of(68.24 ± 5.91)%(P<0.05).(2) One case with cranial hypotension syndrome, 2 cases of subdural effusion in the study group. 2 patients were with acute epidural hematoma,1 case was of incision rupture, 5 cases were of subdural effusion, 1 case was of focal epilepsy, 2 cases were of postoperative cranial hypotension syndrome in the control group, the incidence of complications was 12.50% and 39.29%, and there was significant difference(P<0.05). Conclusion Modified drilling t-tube drainage has obvious effect on hematoma evacuation in patients with chronic subdural hematoma, which can effectively prevent the occurrence of postoperative complications and improve the clinical operation and prognosis.更多还原