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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2024; 8: (9) ; 10.12208/j.ijcr.20240356 .

The role of minimally invasive drainage in epidural hematoma after traumatic brain injury
微创引流术在脑外伤硬脑膜外血肿中的作用

作者: 邓民强 *

湖北省恩施市中心医院 湖北恩施

*通讯作者: 邓民强,单位:湖北省恩施市中心医院 湖北恩施;

引用本文: 邓民强 微创引流术在脑外伤硬脑膜外血肿中的作用[J]. 国际临床研究杂志, 2024; 8: (9) : 81-83.
Published: 2024/9/22 17:25:10

摘要

目的 探究微创引流术在脑外伤硬脑膜外血肿中的作用。方法 选取2022年5月至2023年5月在我院收治的100例脑外伤硬脑膜外血肿患者作为研究对象,采用简单随机分配法将研究对象分为一般组和实验组,每组50例。一般患者应用传统开颅术,实验组患者应用微创引流术。对比两组的临床疗效、病症消失时间和肺功能各项指标。结果 (1)实验组患者手术时间、住院时间低于一般组(P<0.05);(2)实验组患者满意度明显低于一般组(P<0.05);( 3)实验组患者临床并发症发生率明显高于一般组(P<0.05)。结论 微创引流术在脑外伤硬脑膜外血肿的治疗中具有减少手术时间、减少患者住院时间,提高患者满意度,降低并发症发生率等多重作用。

关键词: 微创引流术;脑外伤硬脑膜外血肿;作用

Abstract

Objective: To explore the role of minimally invasive drainage in the treatment of traumatic epidural hematoma.
Methods: A total of 100 patients with traumatic epidural hematoma admitted to our hospital from May 2022 to May 2023 were selected as the study objects, and the study objects were divided into general group and experimental group by simple random allocation method, with 50 cases in each group. Conventional craniotomy was used in general patients, and minimally invasive drainage was used in experimental patients. The clinical efficacy, time of symptom disappearance and pulmonary function indexes of the two groups were compared.
Results: (1) The operation time and hospital stay of the experimental group were lower than those of the general group (P < 0.05); (2) The satisfaction of the experimental group was significantly lower than that of the general group (P < 0.05); (3) The incidence of clinical complications in the experimental group was significantly higher than that in the general group (P < 0.05).
Conclusion  : Minimally invasive drainage has multiple effects in the treatment of traumatic epidural hematoma, such as reducing operation time, reducing hospital stay, improving patient satisfaction and reducing the incidence of complications.

Key words: Minimally invasive drainage; Traumatic epidural hematoma; effect

参考文献 References

[1] 赵晖.微创引流术治疗在脑外伤硬脑膜外血肿患者中的应用[J].系统医学,2023,8(12):150-152+169.

[2] 王志强,张嘉莹.微创血肿穿刺引流术与传统开颅血肿清除术用于治疗高血压脑出血的临床疗效对比分析[J].外科研究与新技术(中英文),2024,13(02):158-161.  

[3] 李志华,陈智全,傅宪.微创穿刺引流与开颅血肿清除术联合治疗高血压性脑出血的效果分析[J].黑龙江医药,2024,37(02):382-384. 

[4] 张海坡,何建军,佘晓春.CT定位下硬通道微创穿刺引流术联合尿激酶灌注治疗老年高血压脑出血患者的效果[J].中外医学研究,2024,22(09):44-47.

[5] 杨光飞,武雅婷,柯青兰,等.超声导向双置管对冲引流术在脊柱内固定术后感染治疗中的应用价值[J].中国超声医学杂志,2024,40(06):709-712.  

[6] 李志华,陈智全,傅宪.微创穿刺引流与开颅血肿清除术联合治疗高血压性脑出血的效果分析[J].黑龙江医药,2024,37(02):382-384.

[7] 袁淼,曾令勇,翟安林,等.神经内镜微创手术治疗脑室出血铸型患者的疗效分析[J].重庆医学,2024,53(13):1966-1971.    

[8] 张德阳.显微镜下锁孔开颅颅内血肿清除术和软通道微创引流术治疗高血压脑出血的临床疗效观察[J].反射疗法与康复医学,2024,5(07):177-180.