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《急诊床边局麻下锥颅免冲洗单纯引流术与传统钻孔引流术治疗慢性硬膜下血肿的疗效分析.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、急诊床边局麻下锥颅免冲洗单纯引流术与传统钻孔引流术治疗慢性硬膜下血肿的疗效分析［摘耍］目的观察急诊床边局麻下锥颅免冲洗引流术对慢性硬膜下血肿(CSDH)的临床疗效。方法将高要市人民医院2007年1月〜2012年1月收治的CSDII患者113例，按手术方式不同分为观察组56例和对照组57例。观察组行急诊床边局麻下锥颅免冲洗单纯引流术，对照组行传统单孔引流冲洗术，比较两组疗效及术后并发症的发生情况。结果观察组患者的治愈率及总有效率分别为64.3%.98.2%,均明显高于对照组的42.1%及87.7%,差异均有统计学意
2、义(％2二9.715>7.680,P<0.05或P<0.01)；对照组出现张力性气颅、硬膜下积液及颅内积气各2例，颅内出血1例，而观察组患者术后仅出现硬膜下积液和颅内积气各1例，两组并发症发生率比较，差异有统计学差异(％2二4.348,P<0.05)。结论急诊床边局麻下锥颅免冲洗引流术对CSDH的疗效确切，并发症少，值得临床推广。［关键词］局麻下锥颅免冲洗引流术；慢性硬膜下血肿；临床疗效［中图分类号］R651.12［文献标识码］A［文章编号］1673-7210(2013)11(c)-0057-03Efficacy
3、analysisofemergencybedsideskullrinseunderlocalanesthesiadrainageandtraditionaldrillingdrainageinthetreatmentofchronicsubduralhematoinaFENGWeijianXIAJunbiaoCHENIlanmingCIIENXinghuoMAIJianpeiYEJianjunDepartmentofNeurosurgery,People*sHospitalofGaoyaoCity,Guangdo
4、ngProvince,Gaoyao526100,China[Abstract]ObjectiveToobservetheclinicalefficacyofemergencybedsideskullrinseunderlocalanesthesiadrainageandtraditionaldrillingdrainageinthetreatmentofchronicsubduralhematoma(CSDH)・Methods113casesofCSDHpatientsfromJanuary2007toJanua
5、ry2012in卩eople'sHospitaiofGaoyaoCitywereselectedanddividedintoobservationgroupwith56casesandcontrolgroupwith57casesaccordingtothesurgicalmethods・Observationgroupwastreatedwithemergencybedsideskullrinseunderlocalanesthesiaalonedrainage,controlgroupwastreatedwi
6、thconvention且1dril1ingdrainage・Theefficacyandtheoccurrenceofpostoperativecomplicationswerecompared・ResultsThecurerateandthetotaleffectiverateofobservationgroupwere64.3%,98.2%respectively,whichwerehigherthanthoseofcontrolgroup(42・1%,87.7%),thedifferenceswerest
7、atisticallysignificant(x2二9.715,7.680,卩〈0.05or卩〈0.01)・2casesoftensionpneumothorax,2casesofintracranialsubduraleffusionand2casesofgasaccumulation,1caseofintracranialhemorrhageincontrolgroupwerefound,and1caseofsubduraleffusionand1caseeachofpneuinocephalusintheo
8、bservationgroupwerefound,thedifferenceofcomplicationratewasstatisticallysignificant(x2二4.348,P〈0.05).ConclusionTheefficacyofemergencybedsideskullrinseunderlocalanesthesiadrainageforCSDHis
