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

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (30 KB)
Export: BibTeX | EndNote (RIS)

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

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	PAN Dong

Cite this article:

PAN Dong. Analysis of the effect of keyhole drainage and traditional craniotomy in the treatment of epidural hematoma after brain trauma[J]. 中国当代医药, 2021, 28(16): 96-98.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I16/96

[1]	姚柱炜，蒙剑锋，栾宏权.微创血肿穿刺术与传统开颅清除术治疗老年脑出血患者的临床疗效分析[J]．中华临床医师杂志，2016，10（10）：1395-1398．
[2]	刘宏波.微创引流术与开颅术治疗硬脑膜外血肿患者的临床疗效分析[J].中国疗养医学，2016，25（9）：944-946.
[3]	陈少伟，林诗荣，黄金楷，等.微创引流术与开颅术在硬脑膜外血肿患者围手术期的治疗体会及临床疗效评价[J].现代生物医学进展，2017，17（24）：4680-4683.
[4]	胡云权.外伤性脑出血用微创穿刺术治疗的临床效果探究[J].实用医技杂志，2017，24（7）：771-772.
[5]	刘晓晖.微创引流术与开颅手术治疗脑外伤硬脑膜外血肿安全性分析[J].中国农村卫生，2018，（24）：94.
[6]	郭再君.54 例急性硬膜外血肿微创治疗的临床分析[J].浙江创伤外科，2014，19（6）：915-916．
[7]	揭家广，刘金龙.微创钻孔引流术与小骨窗开颅术治疗中等量基底节区脑出血的疗效观察[J].白求恩医学杂志，2014，12（1）：36-37．
[8]	卢增活，张乃崇.微创引流术与开颅手术治疗脑外伤硬脑膜外血肿的效果及安全性分析[J].内蒙古医学杂志，2016，48（10）：1209-1210.
[9]	徐德智，赵旭东，王清，等．微创穿刺引流术治疗颅内血肿100 例临床观察[J].现代生物医学进展，2016，（16）：3052-3054.
[10]	王成伟，潘树茂，汤苏文，等.快速细孔钻颅置管引流治疗慢性硬脑膜下血肿510 例[J].中华神经外科杂志，2014，30（12）：1244-1246.
[11]	熊学辉，瞿丹霞.锥颅微创置管引流术治疗慢性硬膜下血肿40 例[J].中国微侵袭神经外科杂志，2016，2l（3）：124-125.
[12]	胡继实，马小强，彭江涛，等.腰大池持续引流术在基层医院神经外科疾病治疗中的应用[J].中国现代医学杂志，2014，24（9）：88-91．
[13]	林友榆，施清晓，黄银辉，等.微创锥颅置管引流术中硬通道与脑动脉血管网关系的探讨[J].中华老年多器官疾病杂志，2016，15（4）：279-282．
[14]	朱锡德，衡雪源，庞琦，等.快速细孔钻颅血肿穿刺引流治疗小儿外伤性迟发性脑内血肿（附八例报道）[J].中华神经医学杂志，2014，13（11）：1162-1164.
[15]	孙涛，苏贺先.硬膜外血肿钻孔引流术的临床观察[J].中华全科医学，2011，9（3）：352-353.
[16]	裼大文.创伤性急性颞部硬脑膜外血肿行开颅血肿清除不同手术时间的临床观察[J].四川医学，2013，34（6）：866-867.