两种手术方式治疗慢性硬膜下血肿疗效研究

目的探讨两种手术方式治疗慢性硬膜下血肿的疗效。方法回顾性分析84例患者的临床及神经影像学特征、手术方法和治疗效果(治愈率、复发率、致死率),对比钻孔引流术与开颅血肿清除术的疗效差异。结果84例患者均采用手术治疗;钻孔引流组69例,其中65例治愈,4例复发,无死亡;开颅组15例,其中治愈14例,1例死于术后心衰合并肺部感染,无复发;两组在治愈率、复发率、及病死率上均无显著性差异。结论钻孔引流术与开颅术均是治疗慢性硬膜下血肿的有效方法,前者术式简便、低创,可作为治疗的首选。

Efficacy Comparison of Two Surgical Procedures in Treatment of Chronic Subdural Hematoma

Objective Two surgical procedures were compared for their efficacies in treatment of chronic subdural hematoma. Methods The clinical features,radiological findings,operative procedures and therapeutic effect(cure rate,recurrence rate and fatality rate) of 84 patients with CSDH were analyzed retrospectively to compare their therapeutic effects for CSDH between burr-hole drainage and craniotomy. Results All these 84 patients were initially managed surgically.The 69 patients used burr-hole drainage,65 cured,with only 4 recurrences but no death.And 15 patients performed craniotomy,14 cured,but one died because of congestive heart failure and pulmonary infection and no recurrence experienced.There were no statistical significance differences in cure rate,recurrence rate and fatality rate between these two groups of patients. Conclusions Burr-hole drainage and craniotomy are both effective treatments for CSDH.The former is more convenient and minimally invasive and can be considered first line treatment.