临床神经外科杂志2023，Vol.20Issue(6)：686-690,695,6.DOI:10.3969/j.issn.1672-7770.2023.06.016
钻孔引流术治疗慢性硬膜下血肿合并急性出血的疗效分析
Efficacy analysis on burr-hole drainage in treatment of acute-on-chronical subdural hematoma
摘要
Abstract
Objective To explore the clinical characteristics and burr-hole drainage efficacy of the patients with acute-on-chronical subdural hematoma(acSDH).Methods The clinical data of 185 patients with chronical subdural hematoma(CSDH)admitted to Renji Hospital,School of Medicine,Shanghai Jiao Tong University from April 2019 to December 2022 were analyzed retrospectively.The clinical characteristics and burr-hole drainage efficacy of 22 acSDH patients were analyzed.Results The incidence rate of acSDH was 11.89％.Compared with patients of CSDH without acute hemorrhage,the acSDH patients had clinical characteristics of lower admitting Glasgow coma scale(GCS),larger hematoma thickness and higher hematoma computer tomography(CT)score(all P＜0.05).There was no significant difference about duration of drainage,hospitalization time,modified Rankin Scale(mRS)of discharge,3-month rebleeding rate,recurrence of reoperation rate and 1-year follow-up mortality(all P＞0.05).However,there was significant difference about frequency of using urokinase and occurring complication of post-operation cranial hemorrhage between groups with or without acute hemorrhage(both P＞0.05).Conclusions acSDH is a special type of CSDH.Burr-hole drainage with using urokinase is an effective therapeutic method for treating acSDH.关键词
慢性硬膜下血肿/急性出血/钻孔引流术/治疗/复发Key words
chronical subdural hematoma/acute hemorrhage/burr-hole drainage/treatment/recurrence分类
医药卫生引用本文复制引用
沈晓燕,惠纪元,赵希敏,刘勇,毛青..钻孔引流术治疗慢性硬膜下血肿合并急性出血的疗效分析[J].临床神经外科杂志,2023,20(6):686-690,695,6.基金项目
国家自然科学基金资助项目(81571883) （81571883）
