局解手术学杂志2017，Vol.26Issue(9)：679-681,3.DOI:10.11659/jjssx.03E017074
额顶部与顶部钻孔治疗慢性硬膜下血肿的疗效分析
Comparison of frontoparietal drill versus parietal drill in burring hole and drainage for chronic subdural hematoma
罗成军 1吴虹刚 1詹傲 1王山 1王庭刚2
作者信息
- 1. 乐山市人民医院神经外科,四川 乐山 614000
- 2. 第三军医大学西南医院急救部,重庆 400038
- 折叠
摘要
Abstract
Objective To investigate the efficacy of frontoparietal drill versus parietal drill in the burring hole and drainage for chronic subdural hematoma(CSDH),and provide an evidence for clinical application.Methods A total of 82 patients with CSDH from January 2013 to January 2016 in our hospital were randomly divided into observation group and control group.The observation group chose frontoparietal drill which located at the front 1/4 point at the axial view with the thickest hematoma.Control group chose parietal drill which nearby the parietal tuberodties at the axial view with the thickest hematoma.The postoperative residual hematoma volume,intracranial gas volume,recurrence rate,neurologic function and mental state between two groups were compared.Results The postoperative residual hematoma volume,intracranial gas volume,the recurrence rate and CSS were lower compared with the control group,the differences were significant(P<0.05).The MMSE score of observation group were higher that of the control group,the difference was significant(P<0.05).Conclusion The frontoparietal drill has a better effect to remove the hematoma and promotes neural functional recovery.关键词
硬膜下血肿/钻孔部位/神经功能/残余血肿量/复发率Key words
subdural haematoma/drilling location/neurologic function/residual hematoma volume/recurrence rate分类
医药卫生引用本文复制引用
罗成军,吴虹刚,詹傲,王山,王庭刚..额顶部与顶部钻孔治疗慢性硬膜下血肿的疗效分析[J].局解手术学杂志,2017,26(9):679-681,3.
