摘要
目的比较单孔与双孔钻颅引流术治疗慢性硬膜下血肿的疗效,以期为临床治疗方案的选择提供依据。方法本研究为前瞻性研究,选取韩城市人民医院神经外科于2014年5月至2018年5月收治的78例慢性硬膜下血肿患者为研究对象,根据随机数表法将患者分为观察组与对照组,每组39例,对照组患者给予双孔钻颅引流术治疗,观察组患者给予单孔钻颅引流术治疗,比较两组患者的手术时间、术后血清超敏C反应蛋白(hs-CRP)、中国卒中量表(CSS)评分以及术后并发症复发率、血肿复发率。结果观察组患者的手术时间为(42.36±13.83) min,明显短于对照组的(70.27±26.92) min,血清hs-CRP水平为(10.61±2.22) mg/L,明显低于对照组的(11.26±2.19) mg/L,差异均有统计学意义(P<0.05);观察组与对照组患者术后CSS评分分别为(14.68±3.48)分、(15.11±4.87)分,术后复发率分别为7.69%和10.26%,差异均无统计学意义(P>0.05);观察组患者颅内积气发生率为2.56%,明显低于对照组的12.82%,差异有统计学意义(P<0.05)。结论单孔钻颅引流术治疗慢性硬膜下血肿,与双孔比较,其操作简单,手术时间短、创伤小,且具有并发症发生率低的优点。
Objective To compare the curative effect of single-hole and double-hole cranial drilling drainage for chronic subdural hematoma,so as to provide a basis for the choice of clinical treatment options.Methods This study was a prospective study of 78 patients with chronic subdural hematoma admitted to the Department of Neurosurgery at Hancheng People's Hospital from May 2014 to May 2018.According to the random number table method,the patients were divided into observation group and control group,with 39 cases in each group.The control group was treated with double-hole cranial drilling drainage,and the observation group was treated with single-hole cranial drilling drainage.The operation time,postoperative serum high-sensitivity C-reactive protein (hs-CRP)and Chinese stroke scale (CSS)scores,as well as recurrence rate of postoperative complications and hematoma were compared between the two groups.Results The operation time of the observation group was (42.36±13.83)minutes,which was significantly shorter than (70.27±26.92)minutes in the control group;and the serum hs-CRP level was (10.61±2.22)mg/L,which was significantly lower than (11.26±2.19)mg/L in the control group;both differences were statistically significant (P<0.05).The postoperative CSS scores of the observation group and the control group were respectively (14.68±3.48)and (15.11±4.87),and the recurrence rate was 7.69% and 10.26%,respectively;both differences were not statistically significant (P>0.05).The incidence of intracranial pneumatosis in the observation group was significantly lower than that in the control group (2.56% vs 12.82%,P<0.05).Conclusion Single-hole cranial drilling drainage for chronic subdural hematoma,compared with double-hole,has the advantage of simple operation,short operation time,less trauma and low complication rate.
作者
郑文平
郭彦明
张笃
刘侠
ZHENG Wen-ping;GUO Yan-ming;ZHANG Du;LIU Xia(Department of Neurosurgery,Hancheng People's Hospital,Weinan 715400,Shaanxi, CHINA;Department of Respiratory Medicine,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2018年第24期3472-3474,共3页
Hainan Medical Journal
基金
陕西省卫计委基金项目(编号:2014D30)
关键词
慢性硬膜下血肿
钻孔引流术
超敏C反应蛋白
并发症
复发
Chronic subdural hematoma
Drilled drainage
Hypersensitivity C reactive protein
Complication
Recurrence