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目的研究慢性硬膜下血肿用钻孔引流术的疗效。方法利用电脑随机双盲法,分组我科2014年8月至2016年7月接诊的126例慢性硬膜下血肿病例:研究与对照各63例。前者用改良钻孔引流术,后者用传统钻孔引流术。观察比较两组血肿改善情况等指标。结果研究组并发症发生率3.17%显著低于对照组15.87%,血肿治愈率80.95%显著高于对照组71.43%,手术时间显著比对照组缩短,P<0.05。结论于慢性硬膜下血肿中合理引入改良钻孔引流术,可减少并发症,缩短手术时间,提高血肿治愈率。
Objective To study the curative effect of drilling drainage with chronic subdural hematoma. Methods A total of 126 cases of chronic subdural hematoma were enrolled in our department from August 2014 to July 2016 with randomized double-blind method: 63 cases in each study and control group. The former is a modified drill drainage, the latter with the traditional drilling drainage. Observation and comparison of two groups hematoma improvement and other indicators. Results The incidence of complications was 3.17% in the study group, 15.87% in the control group, 80.95% in the control group, and 71.43% in the control group. The operation time was significantly shorter than that in the control group (P <0.05). Conclusion Reasonable introduction of modified drilling drainage in chronic subdural hematoma can reduce the complications, shorten the operation time and improve the cure rate of hematoma.