山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (12): 94-99.doi: 10.6040/j.issn.1671-7554.0.2023.0490
• 临床医学 • 上一篇
钱明,姜雷,王学建,赵伟,汪志峰,张毅
QIAN Ming, JIANG Lei, WANG Xuejian, ZHAO Wei, WANG Zhifeng, ZHANG Yi
摘要: 目的 探讨神经内镜与钻孔引流治疗慢性硬膜下血肿(CSDH)的疗效及安全性。 方法 收集2020年1月至 2022年12月我科收治的117例大量慢性硬膜下血肿患者的临床资料并进行回顾性分析,依据手术方法差异,将患者分为两组,内镜组 52例,钻孔引流组 65 例。比较两组患者的一般情况、CT表现、临床疗效、术后并发症及3个月后复发情况。 结果 内镜组患者术后引流管留置时间以及住院时间更短,术后1周的血肿清除率更高(P<0.05);两组患者术后并发症发生率差异无统计学意义,内镜组患者3个月随访时预后更佳。 结论 神经内镜与钻孔引流均能有效治疗CSDH,同时神经内镜术后血肿清除率更高,留置引流管及住院时间短,在治疗慢性硬膜下血肿尤其是混杂密度血肿方面具有更好的临床疗效。
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