摘要
目的比较微创钻孔引流术与开颅去骨瓣血肿清除术治疗颅内血肿的效果。方法抽取2018年1月至2022年1月河南省第二人民医院收治的颅内血肿患者60例,按照随机数字表法分为对照组与研究组,每组30例。对照组采用开颅去骨瓣血肿清除术治疗,研究组采用微创钻孔引流术治疗。比较两组围术期指标、美国国立卫生院卒中量表(NIHSS)评分、一次性血肿清除率、术后再出血发生率及并发症发生率。结果研究组手术时间、术后引流时间、住院时间短于对照组,术中出血量少于对照组(P<0.05)。术后7 d,研究组NIHSS评分低于对照组(P<0.05)。研究组一次性血肿清除率(93.33%,28/30)高于对照组(63.33%,19/30),术后再出血发生率(3.33%,1/30)低于对照组(30.00%,9/30),差异有统计学意义(P<0.05)。研究组并发症发生率(3.33%,1/30)低于对照组(26.67%,8/30),P<0.05。结论与开颅去骨瓣血肿清除术相比,采用微创钻孔引流术治疗颅内血肿的效果更好,能提高一次性血肿清除率,优化围术期情况,并可降低术后再出血及并发症发生率,加快患者术后神经功能恢复。
Objective To compare the effect of minimally invasive drilling drainage and craniotomy evacuation of hematoma in the treatment of intracranial hematoma.Methods A total of 60 patients with intracranial hematoma treated in the Second People’s Hospital of Henan Province from January 2018 to January 2022 were selected,and they were divided into control group and study group by random number table method,with 30 cases in each group.The control group was treated by craniotomy evacuation hematoma,and the study group was treated by minimally invasive drilling drainage.The perioperative indicators,American National Institutes of Health Stroke Scale(NIHSS)score,one-time hematoma clearance rate,postoperative rebleeding rate and complication rate were compared between the two groups.Results Compared with the control group,the operation time,postoperative drainage time,hospital stay of the study group were shorter,and intraoperative blood loss of the study group was less(P<0.05).The NIHSS score of the study group was lower than that of the control group 7 days after operation(P<0.05).The one-time hematoma clearance rate of the study group(93.33%,28/30)was higher than that of the control group(63.33%,19/30),while the incidence of postoperative rebleeding of the study group(3.33%,1/30)was lower than that of the control group(30.00%,9/30),P<0.05.The complication rate of the study group(3.33%,1/30)was lower than that of the control group(26.67%,8/30),P<0.05.Conclusions Compared with craniotomy evacuation of hematoma,minimally invasive drilling drainage has better effects in the treatment of intracranial hematoma,which can improve the one-time hematoma clearance rate,optimize the perioperative situation,reduce the incidence of postoperative rebleeding,reduce the incidence of complications,and accelerate the recovery of postoperative neurological function.
作者
邓庆芬
周玉璞
冯伟
Deng Qingfen;Zhou Yupu;Feng Wei(Department of Neurosurgery,the Second People’s Hospital of Henan Province,Xinzheng 451191,China)
出处
《中国实用医刊》
2023年第3期41-44,共4页
Chinese Journal of Practical Medicine
关键词
颅内血肿
微创钻孔引流术
开颅去骨瓣血肿清除术
Intracranial hematoma
Minimally invasive drilling drainage
Craniotomy evacuation of hematoma
