摘要
目的探讨单骨孔与双骨孔微创技术外科治疗慢性硬膜下血肿(CSDH)的临床疗效。方法选取2006年1月～2012年10月于本院治疗的CSDH患者共100例,分为单骨孔组以及双骨孔各50例,分别行单骨孔穿刺术和双骨孔穿刺术。结果单骨孔组手术时间为(43.38±21.45)min,双骨孔组手术时间为(87.23±27.50)min,两组比较,差异有统计学意义(P<0.05);单骨孔组血肿复发率为18.0%,双骨孔组血肿复发率为4.0%,两组比较,差异有统计学意义(P<0.05)。单骨孔组和双骨孔组术后并发症分别为20.0%和18.0%,血肿清除率分别为92.0%和94.0%,两组差异无统计学意义(P>0.05)。结论单骨孔穿刺术可以大幅度减少手术时间,冲洗方便,减少创伤。双骨孔穿刺术则可以降低术后复发率,降低术后并发症,双骨孔穿刺术也优于单骨孔穿刺术。根据患者的身体耐受性状况和需求选择合适的术式是治疗成功的关键。
Objective To explore the chronic subdural hematoma patients by single and double bone bone hole hole of minimally invasive surgery technology. Methods 100 cases of these CSDH patients who were treated at our hospital from January 2006 to October 2012 were chosen as research objects.They were divided into single bone hole group and double-bone hole group,each group of 50 cases.They were adopted single bone hole and double bone hole of minimally invasive surgical treatment,respectively. Results The operation time of single bone hole group was （43.38±21.45） min, the operation time of double bone hole group was （87.23±27.50） min,there was statistically significant between these two groups （P＆lt;0.05）;The hematoma recurrence rate of single bone hole group was 18.0%,the hematoma recurrence rate of double bone hole group was 4.0%,there was statistically significant between these two groups （ P＆lt;0.05）.The postoperative complications rate of single bone hole group was 20.0%,the postoperative complications rate of double-bone hole group was 18.0%,there was statistically significant between these two groups （ P＆lt;0.05）.The hematoma clearance rate of single bone hole group was 92.0%,the hematoma clearance rate of double-bone hole group was 94.0%,there were no significant differences between these two groups （P＆gt;0.05）. Conclusion Single bone hole puncture surgery can greatly reduce surgery time and trauma,it is easy to clean.Double bone hole puncture can reduce postoperative recurrence rate,reduce happening rate of postoperative complications,double bone hole puncture surgery is better than single bone hole puncture surgery.The key to successful treatment is choosing surgery method according to patients ’ body resistant conditions and their needs.
出处
《中国当代医药》
2013年第21期55-56,共2页
China Modern Medicine
关键词
慢性硬膜下血肿
骨孔开颅
单骨孔
双骨孔
微创手术
Chronic subdural hematoma
Bone hole craniotomy
Single bone hole
Double bone hole
Minimally invasive surgery
