临床神经外科杂志2025，Vol.22Issue(3)：304-308,5.DOI:10.3969/j.issn.1672-7770.2025.03.011
床旁硬通道微创穿刺技术在急性硬膜下血肿手术中的临床应用
Clinical application of bedside hard catheter minimally invasive puncture technique in acute subdural hematoma surgery
摘要
Abstract
Objective To analyze the clinical efficacy of hard catheter puncture and drainage of hematoma in patients with subdural hematoma.Methods The clinical data of 91 patients admitted from January 2022 to January 2024 in the Fuling Hospital,Chongqing University were reviewed,According to the treatment mode,it was divided into hard catheter puncture and drainage hematoma+craniotomy study group(60 patients)and craniotomy control group(31 patients).The study group used bedside hematoma puncture in neurosurgical ICU followed by craniotomy to remove the hematoma.The control group used the traditional craniotomy to remove the hematoma,the time to relieve intracranial pressure was recorded in both groups.Glasgow coma scale(GCS)of postoperative changes,length of hospitalization,hospitalization costs and postoperative intracranial infection.The activity of daily living(ADL)was applied to assess the prognosis.Results The decompression time was 8-12 minutes[(10.2±1.3)min]in the study group and 45-81 minutes[(61.0±7.4)min]in the control group(P＜0.05).Postoperative GCS score improvement was superior in the study group compared to the control group(P＜0.05).Hospitalization duration was(18.6±3.1)days in the study group versus(27.1±4.2)days in the control group(P＜0.05).Hospitalization costs were lower in the study group than in the control group(P＜0.05).No significant difference in intracranial infection rates was observed between the study and control groups(P＞0.05).The study group had a significantly higher rate of favorable outcomes compared to the control group(P＜0.05).Conclusions Cranial trauma and cerebral hernia combined with subdural hematoma requiring emergency surgery can be used to drain the bedside of the ward to relieve intracranial pressure,and then craniotomy,which is beneficial to improve the prognosis of patients and is worth promoting.关键词
床旁/硬通道穿刺/硬膜下血肿/手术/疗效Key words
bedside/hard access puncture/subdural hematoma/surgery/curative effect分类
医药卫生引用本文复制引用
张入丹,蒋敏,冷星怡,曾礼,吴小波,廖鹏,肖文峰..床旁硬通道微创穿刺技术在急性硬膜下血肿手术中的临床应用[J].临床神经外科杂志,2025,22(3):304-308,5.基金项目
重庆市涪陵区科卫联合医学科研指导类项目(2023KWLH071) （2023KWLH071）
