摘要
目的:比较骨瓣开颅血肿清除术与微创穿刺术治疗外伤性颅内血肿的效果。方法:选取118例外伤性脑出血患者作为观察对象,按随机数字表法将其分为对照组54例和研究组64例。对照组采用骨瓣开颅血肿清除术,研究组采用微创穿刺术进行治疗。比较两组住院时间、手术时间、血肿完全吸收时间、术中出血量和术前、术后1 d、术后7 d、术后14 d的血肿量、格拉斯哥(GCS)评分及临床疗效。结果:研究组手术时间、住院时间明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(P<0.05);两组血肿完全吸收时间比较,差异无统计学意义(P>0.05)。术后,研究组GCS评分明显高于对照组,差异有统计学意义(P<0.05)。研究组治疗总有效率为90.63%(58/64),明显高于对照组的66.67%(36/54),差异有统计学意义(P<0.05)。术后14 d,两组血肿残余量比较,差异无统计学意义(P>0.05)。结论:采用微创穿刺术治疗外伤性颅内血肿的效果优于骨瓣开颅血肿清除术治疗效果。
Objective： To compare effects of hematoma clearance through skull flap craniotomy and minimally invasive puncture on patients with traumatic cerebral hemorrhage. Methods： 118 patients with traumatic cerebral hemorrhage were selected as observation subjects, and they were divided into the control group （n=54） and study group （n=64） according to the random number table method. The control group was treated with hematoma clearance through skull fap craniotomy, while the study group was treated with minimally invasive puncture. The hospitalization time, operation time, complete hematoma absorption time, intraoperative blood loss, hematoma volumes before and 1, 7 and 14 days after the surgery, Glasgow （GCS） score and clinical effcacy were compared between the two groups. Results： The operation time and hospitalization time of the study group were signifcantly shorter than those of the control group; the intraoperative blood loss was signifcantly lower than that of the control group, and the differences were statistically signifcant （P〈0.05）. There was no signifcant difference in the complete hematoma absorption time between the two groups （P〈0.05）. After the surgery, the GCS score of the study group was signifcantly higher than that of the control group, and the difference was statistically signifcant （P〈0.05）. The total effective rate of the study group was 90.63% （58/64）, which was signifcantly higher than that of the control group （66.67%, 36/54）, and the difference was statistically signifcant （P〈0.05）. Further, there was no signifcant difference in the residual amount of hematoma 14 days after the surgery between the two groups （P〉0.05）. Conclusions： Hematoma clearance through skull fap craniotomy in the treatment of the patients with traumatic cerebral hemorrhage is superior to minimally invasive puncture.
作者
孙丽军
SUN Lijun(Department of Neurosurgery of Donggang Central Hospital,Donggang Liaoning 118300,China)
出处
《中国民康医学》
2018年第22期5-7,共3页
Medical Journal of Chinese People’s Health
关键词
脑出血
骨瓣开颅血肿清除术
微创穿刺术
Cerebral hemorrhage
Hematoma clearance through skull fap craniotomy
Minimally invasive puncture
