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目的探讨治疗儿童外伤性急性硬膜外血肿的有效方法。方法 60例外伤性急性硬膜外血肿患儿,按手术方式的不同分为微创组(32例)和常规组(28例)。微创组行微创穿刺引流术治疗,常规组行常规皮瓣开颅术治疗。比较两组的治疗效果。结果两组临床治疗总有效率比较差异无统计学意义(P>0.05),微创组患儿术后24、48 h疼痛评分(面部表情评分法)均低于常规组(P<0.05),术后住院时间短于常规组(P<0.05)。结论微创穿刺引流术和常规皮瓣开颅术治疗儿童外伤性急性硬膜外血肿均可获得良好疗效,且微创穿刺引流术的安全性更高。
Objective To explore an effective method for treating traumatic acute epidural hematoma in children. Methods Sixty children with traumatic acute epidural hematoma were divided into minimally invasive group (n = 32) and conventional group (n = 28) according to the operation method. Minimally invasive group minimally invasive puncture drainage treatment, routine group conventional flap craniotomy treatment. Compare the treatment effect of two groups. Results There was no significant difference in the total effective rate between the two groups (P> 0.05). The pain score (facial expression score method) at 24 and 48 hours after operation in the minimally invasive group was lower than that in the conventional group (P <0.05) The postoperative hospital stay was shorter than that of the conventional group (P <0.05). Conclusion Minimally invasive puncture drainage and conventional flap craniotomy for children with traumatic acute epidural hematoma can obtain good curative effect, and minimally invasive puncture drainage is more safe.