| 曲志峰 鲍艳春 陈文理 温志强 马陈建 关聪聪 康平平.常规开颅手术和脑室镜治疗硬膜下血肿的对比研究[J].,2015,15(7):1313-1316 |
| 常规开颅手术和脑室镜治疗硬膜下血肿的对比研究 |
| A Clinical Comparative Study between Conventional Craniotomy Operationand Ventriculoscope Treatment for Epidural Hematoma |
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| DOI： |
| 中文关键词: 蛛网 膜下腔 出 血 脑室镜 |
| 英文关键词: Subarachnoid Hemorrhage Ventricle mirror |
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| 中文摘要: |
| 目的： 对比分析常规开颅手术和脑室镜治疗 硬膜下血肿的临床疗效。 方法： 自 2012 年 1 月 到 2013 年 10 月 ，我科急诊收治
的硬膜下血肿病例 共 63 例。 其中脑室镜组 28 例， 男 16 例， 女 12 例，年龄（ 33.2± 9.4）岁； 常规开颅组 35 例，男 23 例，女 12 例，年
龄 30.2± 9.4 岁。 常规开颅组采用 传统的大骨瓣开颅术清除颅内 血肿， 另 一组采用 脑室镜微创技术清除颅内 血肿。 结果： 脑室镜组
和常规开颅组的术前 GCS 评分分别为 4.2± 0.7、 4.6± 0.8， 差异无统计学意义(P>0.05)。术后第 3、 7 天脑室镜 GCS 评分明显升高，
和常规开颅组相比， 差异有统计学意义(P<0.05)； 术后第 1、 3、7 天， 脑室镜组的血糖水平明显比常规开颅组下降的速度快， 差异具
有统计学意义(P<0.05)； 脑室镜组头皮切口 长度、骨窗大小明显比常规开颅组要小，血肿清除率大， 二者差异有统计学意义；两组
预后差异有统计学意义(P<0.05)。 结论： 脑室镜治疗硬膜下血肿， 具有手术时间 短， 创伤小，术后患者恢复速度快等优点， 值得推
广。 |
| 英文摘要: |
| Objective:To analyze clinical effect of operation between the routine craniotomy surgery and ventriculoscope for
treatment of subdural hematoma.Methods:From January 2012 to October 201 3, a total of 63 cases with epidural hematoma were admitted in our department. 28 cases in the ventriculoscope group, including 16 males and 1 2 females, at age of 33.2 ± 9.4 years old, got ventriculoscope minimally invasive technology to clear intracranial hematoma. The other 35 cases in conventional craniotomy group, including 23 males and 1 2 females, at age of 30.2 ± 9.4 years old, received the traditional large bone flap craniotomy.Results:The preoperative GCS scores were 4.2 ± 0.7 in the conventional craniotomy group, and 4.6 ± 0.8 in the ventriculoscope comparatively, having no
significant difference (P>0.05). At the 3rd and 7th day after surgery, ventriculoscope GCS score was significantly increased; and compared with conventional craniotomy group, the difference was statistically significant (P<0.05). At the 1 st, 3rd, and 7th day after surgery,
the blood sugar level of ventriculoscope group decreased significantly faster than that of conventional craniotomy group, and the difference was statistically significant (P<0.05). The incision was longer and bone window size was larger in ventriculoscope group than in the
conventional craniotomy group, and there was significant difference between the two groups. The clearance rate of hematoma was also
higher in ventriculoscope group. The prognosis showed statistical difference between the two groups (P<0.05).Conclusion:Compared to
the traditional craniotomy operation, ventriculoscope for subdural hematoma can shorten operation time, lessen trauma after the surgery,
and improve the GCS score and prognosis of patients |
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