不同术式及引流管引流治疗老年亚急性硬膜下血肿的疗效

发布时间：2018-03-20 19:13

本文选题：亚急性硬膜下血肿　切入点：引流术　出处：《中国老年学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨外科手术中不同术式及引流管引流治疗老年亚急性硬膜下血肿(SSDH)的疗效。方法 297例SSDH患者按随机盲取法分为观察组154例与对照组143例,观察组采用小骨窗放置双腔引流管引流治疗,对照组采用传统钻孔引流术,两组根据放置引流管不同分为A型与B型方案,A型放置Y型双腔引流管,B型放置单腔引流管。对比两组不同型方案手术情况,术后均随访6个月,观察两组不同型手术方案患者术后并发症。结果观察组A型方案手术时间、引流置管时间均低于同组B型方案及对照组各型方案,术中出血量高于同组B型方案及对照组各型方案(P0.05);观察组A型方案术后不同时间中线偏移距离低于同方案术前及B型方案、对照组各型方案同期(P0.05),术后见并发症发生率低于同组B型及对照组各型(P0.05)。对照组A型总并发症发生率低于同组B型方案(P0.05)。结论小开窗血肿清除术后给予双腔引流管治疗SSDH疗效满意,具有操作简单、中线恢复快、并发症少等优点。
[Abstract]:Objective to investigate the efficacy of different surgical methods and drainage tube in the treatment of subacute subdural hematoma (SSDH) in the elderly. Methods 297 patients with SSDH were randomly divided into observation group (n = 154) and control group (n = 143). The observation group was treated with small bone window and double-lumen drainage tube, while the control group was treated with traditional drilling drainage. The two groups were divided into two groups according to the placement of drainage tube: type A and type B: type A and type A: type Y double-lumen drainage tube, type B placement of single-chamber drainage tube, compared with the operation of different types of drainage tube, all patients were followed up for 6 months after operation. Results the operative time and drainage time of the patients in the observation group were lower than those in the same group and the control group. The amount of intraoperative bleeding was higher than that of type B regimen and control group (P 0.05), and the deviation distance of midline in observation group was lower than that in the same group and type B regimen at different time after operation. The incidence of complications in the control group was lower than that in the control group B and the control group, and the total complication rate in the control group was lower than that in the control group. Conclusion the double cavity drainage is given after small fenestration hematoma removal in the control group, and the total complication rate in the control group is lower than that in the control group. The effect of tube therapy on SSDH was satisfactory. The utility model has the advantages of simple operation, fast recovery of midline and less complications.
【作者单位】：遵义市第一人民医院神经外科;
【分类号】：R651.15

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