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目的比较简易头皮下定位锥颅单孔引流与多孔引流治疗自发性脑内血肿的效果。方法回顾性分析55例自发性颅内血肿患者,头皮定位单孔引流31例[血肿量(52.9±13.2)ml],头皮定位多孔锥颅24例[血肿量(55.3±15.4)ml],术后给予尿激酶溶解血肿。比较引流时间、血肿残留量及日常生活能力Barthel指数。结果多孔引流组引流时间[(6.5±2.7)d]明显短于单孔引流组[(10.6±3.2)d](P<0.05);在治疗后3个月,多孔引流组的Barthel指数(71.87±7.53)明显高于单孔引流组(50.62±17.20)(P<0.05)。结论对于较大的且形状不规则的血肿应该在定位下实施多点穿刺。微创穿刺血肿腔引流加尿激酶冲洗简单易行,血肿清除率高,术后恢复好。
Objective To compare the effect of simple scalp subcutaneous skull drainage and porous drainage in the treatment of spontaneous intracerebral hematoma. Methods A retrospective analysis of 55 patients with spontaneous intracranial hematoma, scalp localization of single-hole drainage in 31 cases [hematoma (52.9 ± 13.2) ml], scalp skull positioning porous 24 cases [hematoma (55.3 ± 15.4 ml] After given urokinase hematoma. Comparison of drainage time, hematoma residue and daily living ability Barthel index. Results The drainage time [(6.5 ± 2.7) d] in the porous drainage group was significantly shorter than that in the single drainage group (10.6 ± 3.2) d (P <0.05). At 3 months after treatment, the Barthel index (71.87 ± 7.53) was significantly higher than the single-hole drainage group (50.62 ± 17.20) (P <0.05). Conclusion For larger and irregularly shaped hematoma, multiple punctures should be performed with positioning. Minimally invasive punctual hematoma cavity drainage and urokinase flushing simple, high hematoma clearance, good postoperative recovery.