摘要
目的 :探讨立体定向脑内窥镜下治疗老年人慢性硬膜下血肿的治疗效果。方法 :38例 6 0岁以上手术治疗的慢性硬膜下血肿随机分为两组 ;治疗组 (n =18)和对照组 (n =2 0 )。治疗组在CT引导立体定向内窥镜下清除血肿 ;对照组则采用常规钻孔冲洗引流术。结果 :对两组出院时的疗效进行比较分析。治疗组显效率为94.44 % ,明显优于对照组 (6 5 % ) ,P <0 .0 5 ;治疗组的平均住院日为 (11.72± 2 .5 6 )d ,对照组为 (2 2 .17± 3 .2 9)d ,两组比较治疗组亦明显缩短 (P <0 .0 1)。结论 :立体定向脑内窥镜手术治疗慢性硬膜下血肿可在直视下操作、止血 ,清除血肿较彻底。疗程缩短、效果好 ,降低了术后并发症及血肿复发率。
Objective: To explore the curative effect of stereotactic endoscopic surgery on treating elderly chronic subdural hematoma. Methods: 38 elderly patients (>60y) were randomly divided into two groups: the treated group (n=18) and the control group (n=20). CT-guided stereotactic endoscopy was used in the former group, conventional trepanning irrigation and drainage was used in the latter group. Results: The results showed that the mean time of hospitalization (11.72±2.56 days) in treated group was significantly shorter than that (22.17±3.29 days) in control group (P< 0.01). According to Glasgow Outcome Scale (GOS), the markedly effective rate (94.44%) in treated group was significantly higher than that (65%) in control group (P<0.05). Conclusions: Stereotactic endoscopic surgery was successfully utilized for evacuating hematoma and hemostasis. It was characterized by visualized manipulation, effective hemorrhage evacuation, shorter period and excellent results. There were no serious post-operative complications.
出处
《中国内镜杂志》
CSCD
2001年第4期34-35,共2页
China Journal of Endoscopy
关键词
内窥镜
立体定向
慢性硬膜下血肿
老年
Endoscope, Stereotactic technique, Chronic subdural hematoma
