摘要
目的探讨锁孔技术在幕下硬膜外血肿清除术中的作用。方法将60例创伤性幕下硬膜外血肿患者随机分成两组各30例（分别称为观察组及对照组，简称A组及B组），A组利用锁孔技术清除硬膜外血肿（必要时使用神经内镜辅助），B组使用传统后颅窝开颅术清除硬膜外血肿，比较两组在手术时间、手术出血量及疗效方面的差别。结果平均手术时间A组为46min，B组为113min（P〈0．01）；平均手术出血量A组为81ml，B组为425ml（P〈0．01）；两组硬膜外血肿均完全清除，无复发。结论在幕下硬膜外血肿清除术中，利用锁孔技术比传统后颅窝开颅术具有手术时间短、出血量少、疗效确切等优点，值得推广应用。
Objective To explore the effect of keyhole technique in treatment with infratentorial epidural hematoma. Methods All the 60 patients with infratentorial epidural hematoma were divided into two groups i. e. observing group （ group A） and control group （ group B）. The group A were accepted evacuation of infratentorial epidural hematoma using keyhole technique. The group B were received traditional posterior fossa craniotomy. The difference of the operation time ,blood loss and therapeutic effects beween the two groups were compared. Results The average operation time to the group A was 46 min and to the group B was 113 min （ P 〈 0. 01 ）. The blood loss in operation of group A and B were 81 ml and 425 ml respectively（ P 〈0.01 ）. Hemotoma were all thoroughly cleared away and without recurrence in the two groups. Conclusion In treatment with infratentorial epidural hematoma ,the keyhole technique shows several advantages including shorter operation time, less blooding and better gurrenteed effect as compared with traditional posterior fossa craniotomy. It is worthily recommended in the clinical application.
出处
《中国临床实用医学》
2008年第7期30-31,共2页
China Clinical Practical Medicine
关键词
锁孔技术
幕下
硬膜外血肿
Keyhole technique
Posterior cranial fossa
Epidural hematoma
