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目的 :观察两种方法治疗去骨瓣减压术后硬膜下积液的临床疗效。方法 :将我院2004年1月~2015年12月期间收治的去骨瓣减压术后出现硬膜下积液的100例患者按照就诊时间顺序分为实验组和对照组,对实验组患者实施硬膜下积液持续引流联合佩戴自制弹力帽治疗,对对照组患者实施单纯硬膜下积液持续引流治疗,对比两组患者硬膜下积液消失时间、住院时间、术后硬膜下积液复发率、手术并发症及治疗前后日常生活能力评分。结果 :实验组患者的硬膜下积液基本消失时间、术后住院时间短于对照组,硬膜下积液复发率、手术并发症发生率低于对照组;两组术后日常生活能力评分均显著升高,且实验组治疗后明显高于对照组。结论 :持续引流联合佩戴自制弹力帽治疗去骨瓣减压术后硬膜下积液,疗效确切,安全性高,复发率低,操作简单,值得在临床推广应用。
Objective: To observe the clinical curative effect of two methods in treating subdural effusion after decompressive craniectomy. Methods: One hundred patients with subdural effusion after decompressive craniectomy in our hospital from January 2004 to December 2015 were divided into experimental group and control group according to the sequence of visiting time. The patients in experimental group The implementation of subdural effusion continued drainage combined with self-made elastic cap treatment, the control group of patients with simple subdural effusion continuous drainage treatment, compared two groups of patients with subdural effusion disappear time, hospital stay, postoperative subdural Effusion recurrence rate, surgical complications and daily living ability before and after treatment. Results: The subdural effusion disappeared in the experimental group, the postoperative hospital stay was shorter than that in the control group, the recurrence rate of subdural effusion and the incidence of complications were lower than those in the control group. The scores of postoperative daily living ability Were significantly higher, and the experimental group was significantly higher after treatment than the control group. CONCLUSION: Continuous drainage combined with self-made elastic cap for the treatment of subdural effusion after decompressive craniectomy has the advantages of definite curative effect, high safety, low recurrence rate and simple operation, which is worthy of clinical application.