微创引流术与开颅术治疗脑外伤硬脑膜外血肿临床随机对照研究

目的 研究对比微创引流术与开颅术治疗脑外伤硬脑膜外血肿的临床疗效. 方法 随机选取该院收治的脑外伤硬脑膜外血肿患者100例,时间为2013年1月—2015年1月,随机分组,对照组50例进行开颅手术,观察组50例进行微创引流手术. 对比两组的住院时间、再出血发生率以及颅脑缺损发生情况. 结果 与对照组的住院时间(12.67± 1.92),相比,观察组患者的住院时间(8.43±1.39),明显更短(P<0.05). 观察组患者的再出血率(4%)和颅脑缺损发生率(0%)均较对照组的(18%、10%)明显更低(P<0.05).结论 与开颅术相比,微创引流术应用于脑外伤硬脑膜外血肿的临床治疗中,能够有效缩短住院时间,减少再出血和颅脑缺损的发生.

Comparative Research on Minimal Invasive Drainage and Craniotomy in Treatment of Cerebral Injury of Epidural Hematoma

Objective To research and compare the clinical curative effect of minimal invasive drainage and craniotomy in treatment of cerebral injury of epidural hematoma. Methods 100 cases of patients with cerebral injury of epidural hematoma treated from January 2013 to January 2015 were selected and randomly divided into two groups with 50 cases in each, the control group were given craniotomy, the observation group were given minimal invasive drainage, the length of stay, re-hemorrhage incidence and craniocerebral defect occurrence of the two groups were compared. Results The length of stay in the observation group was obviously shorter than that in the control group (12.67±1.92)d vs (8.43±1.39)d (P<0.05), the re-hemorrhage incidence and craniocerebral defect occurrence in the observation group were obviously lower than those in the control group, (4%,0% vs 18%,10%) (P<0.05). Conclusion Compared with craniotomy, minimal invasive drainage in clinical treatment of cerebral injury of epidural hematoma can effectively shorten the length of stay and reduce the occur-rence of re-hemorrhage and craniocerebral defect.