摘要
目的:探究并总结利用虹吸原理自行设计单孔双管环形冲洗引流术治疗慢性硬膜下血肿或积液临床疗效。方法:选取2012年05月至2013年5月期间我科收治78例慢性硬膜下血肿患者,按照随机平均分组原则,分为治疗组39例,采用虹吸原理自行设计单孔双管环形冲洗引流术进行治疗;对照组39例,采用传统单孔单管冲洗引流术方式进行治疗。通过对两组患者血肿清除率、治愈率等疗效进行对比分析,并对患者进行为期1年的随访,观察其临床复发率与不良反应的发生率。结果:经过治疗,两组患者的病情都得到了一定程度上的改善,治疗组血肿清除率与治愈率分别为97.43%(38/39)、89.74%(35/39);对照组血肿清除率与治愈率分别为76.92%(30/39)、74.53%(29/39)。随访1年发现,治疗组患者未出现复发与不适;而对照组中25.64%(10/39)患者出现不同程度的复发,23.07%(9/39)的患者出现不适。结论:通过本项目的研究,将初步制定虹吸原理自行设计单孔双管环形冲洗引流术治疗慢性硬膜下血肿手术的操作规范,并为临床推广提供有效研究数据。
Objective：To explore the clinical curative effect of using siphon principle designed single hole double ring flushing drainage in treating chronic subdural hematoma or effusion. Methods： From May 2012 to May 2013 ,78 hospitalized patients with chronic subdural hematoma according to the stochastic averaging grouping principle were divided into treatment group（39 cases） which were used the siphon principle designed single hole double ring flushing drainage treatment; the control group （39 cases） were used the traditional single hole single pipe irrigation drainage. The curative effect rate,cure rate, one-year follow-up of patients,the incidence of observing the clinical recurrence rate and adverse reaction were compared and analyzed in two groups. Results： After treatment,the patient＆#39;s condition has been a certain degree of improvement in two groups, hematoma clearance rate and cure rate were 97.43%（38/39）,89.74%（35/39） in treatment group, hematoma clearance rate and cure rate were 76.92%（30/39）,74.53%（29/39） in control group. After a follow-up of 1 years showed that the patients in the treatment group were not relapse and discomfort, while 25.64%（10/39） patients in the control group were different degrees of recurrence, 23.07%（9/39） of the patients were discomfort. Conclusion： Through the research of this project will initially formulated the siphon principle designed single hole double ring flushing operation standard drainage in the surgical treatment of chronic subdural hematoma,and provide effective data for the clinical research.
出处
《甘肃医药》
2014年第12期902-905,共4页
Gansu Medical Journal
关键词
虹吸原理
引流术
硬膜下血肿
积液
siphon principle
drainage
subdural hematoma
effusion
