锁孔引流术和传统开颅手术治疗脑外伤硬脑膜外血肿的效果分析

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摘要目的对比分析微创锁孔引流术和开颅手术治疗脑外伤硬脑膜外血肿的治疗临床效果。方法选取鞍山市中心医院2019年1～12月收治的60 例脑外伤硬脑膜外血肿患者作为研究对象，按照入院顺序使用交替分组法分为观察组（30 例）与对照组（30 例），对照组采用开颅手术治疗，观察组采用微创锁孔引流术治疗，比较两组患者手术时间、住院时间、术中出血量、颅脑缺损发生率、再出血发生率、感染发生率以及医疗费用。结果观察组的术中出血量少于对照组，手术时间和住院时间短于对照组，观察组的住院费用低于对照组，差异有统计学意义（P＜0.05）；观察组的颅脑缺损发生率、再出血发生率、感染发生率低于对照组，差异有统计学意义（P＜0.05）。结论微创锁孔引流术治疗脑外伤硬脑膜外血肿患者的效果不仅与开颅手术治疗的效果相同，还能减少患者手术创伤面，缩短恢复时间，降低术后并发症发生率，降低患者的经济负担，所以微创锁孔引流术在临床上推广的意义很大，值得推广应用。

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	潘东

关键词 ：微创锁孔引流术, 开颅手术, 脑外伤硬脑膜外血肿, 临床疗效

Abstract：Objective To compare and analyze the clinical effect of minimally invasive keyhole drainage and craniotomy for epidural hematoma after traumatic brain injury. Methods A total of 60 cases of traumatic epidural hematoma patients in Anshan Central Hospital from January to December 2019 were selected as the research object, according to the order of admission, they were divided into observation group (30 cases) and control group (30 cases) using alternate grouping method. The control group was treated with craniotomy, and the observation group was treated with minimally invasive keyhole drainage. The operation time, hospital stay, intraoperative blood loss, incidence of craniocerebral defects, incidence of rebleeding, incidence of infection, and medical treatment were compared between the two groups.Results The amount of bleeding during surgery in the observation group was less than that in the control group, and the operation time and hospital stay were shorter than those in the control group, the hospitalization expense of the observation group was lower than that of the control group, and the differences were statistically significant (P<0.05); the incidence rates of craniocerebral defects, rebleeding, and infection in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Minimally invasive keyhole drainage is used in the treatment of patients with brain injury and extradural hematoma, the treatment effect is not only the same as that of craniotomy, but also can reduce the traumatic surface of patients, shorten the recovery time of patients, reduce the incidence of postoperative complications, and reduce the economic burden of patients. Therefore, the minimally invasive keyhole drainage is of great significance in clinical promotion and it is worth promoting and applying.

Key words： Minimally invasive keyhole drainage Craniotomy Traumatic epidural hematoma Clinical efficacy

引用本文:

潘东. 锁孔引流术和传统开颅手术治疗脑外伤硬脑膜外血肿的效果分析[J]. 中国当代医药, 2021, 28(16): 96-98.
PAN Dong. Analysis of the effect of keyhole drainage and traditional craniotomy in the treatment of epidural hematoma after brain trauma. 中国当代医药, 2021, 28(16): 96-98.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I16/96

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