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目的:分析对软通道微创穿刺引流术与传统手术在慢性、亚急性硬膜下血肿患者中的治疗效果。方法:抽选印江县中医院2013年10月至2016年10月30例硬膜下血肿患者,患者入院后采用系统随机分组的方式分为观察组、对照组,每组15例,采用传统手术治疗的作为对照组,采用软通道微创穿刺引流术进行治疗的作为观察组,比较两组患者治疗效果。结果:观察组患者手术时间平均为(26.2±6.9)min,患者术后残余液量为(15.3±5.1)m L,与对照组比较,差异具有统计学意义(P<0.05)。两组患者疗效评估有效率分别为93.3%、86.7%,组间比较,差异无统计学意义(P>0.05);观察组患者无死亡病例,对照组患者有3例死亡,死亡率为12.0%,组间比较,差异具有统计学意义(P<0.05)。结论:微创穿刺引流术在慢性、亚急性硬膜下血肿患者中的治疗效果更为理想,安全性更高。
OBJECTIVE: To analyze the curative effect of soft-channel minimally invasive puncture and drainage in patients with chronic sub-acute subdural hematoma. Methods: Thirty patients with subdural hematoma from October 2013 to October 2016 were selected. The patients were randomly divided into observation group and control group with 15 cases in each group. Surgical treatment as a control group, the use of soft-channel minimally invasive puncture drainage for treatment as the observation group, the treatment effect of two groups were compared. Results: The mean operation time was (26.2 ± 6.9) min in the observation group and 15.3 ± 5.1 mL in the postoperative group. The difference was statistically significant (P <0.05) compared with the control group. There was no significant difference between the two groups (P> 0.05). There were no deaths in the observation group and 3 deaths in the control group with a mortality rate of 12.0% , The difference between groups was statistically significant (P <0.05). Conclusion: Minimally invasive puncture drainage is more effective and safe in patients with chronic sub-acute subdural hematoma.