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目的探讨单孔单管与单孔双管治疗慢性硬膜下血肿的临床疗效。方法选取我院2012年1月~2016年1月慢性硬膜下血肿患者104例,随机分观察组对照组,每组各52例;观察组采用单骨孔双管治疗,对照组采用单骨孔单管治疗,观察两组患者手术时间,住院时间,及血肿清除情况,术后复查头颅CT了解术后残余量及血肿腔残气,3月后血肿复发情况。结果两组患者在颅内积气方面比较,观察组明显优于对照组,差异具有统计学意义(P<0.05);血肿完全清除率和术后残余量比较,观察组明显优于对照组,差异具有统计学意义(P<0.05);住院时间和手术时间方面比较,差异不具有统计学意义(P>0.05)。3个月复查,观察组患者复发率明显低于对照组,差异具有统计学意义(P<0.05);住院时间和手术时间方面比较,差异不具有统计学意义(P>0.05)。结论单骨孔双管技术治疗慢性硬膜下血肿疗效显著,血肿清除率高,复发低率,可作为外科治疗慢性硬膜下血肿的一种较理想的手术方式。
Objective To investigate the clinical effect of single hole and single hole double tube in the treatment of chronic subdural hematoma. Methods A total of 104 patients with chronic subdural hematoma from January 2012 to January 2016 in our hospital were randomly divided into observation group (52 cases in each group), observation group (single hole) and control group Holes single tube treatment, observation of two groups of patients operation time, hospital stay, and hematoma removal, postoperative recheck skull CT understanding of residual volume and hematoma cavity residual gas, hematoma recurrence after 3 months. Results Compared with the control group, the observation group was superior to the control group in both groups (P <0.05). Compared with the control group, the complete clearance rate of the hematoma and postoperative residual volume were significantly higher in the observation group than in the control group The difference was statistically significant (P <0.05). There was no significant difference between hospitalization time and operation time (P> 0.05). The recurrence rate in observation group was significantly lower than that in control group at 3 months (P <0.05). There was no significant difference between hospitalization time and operation time (P> 0.05). Conclusion Single hole double - tube technique for the treatment of chronic subdural hematoma has a significant effect, high hematoma clearance rate and low recurrence rate, which can be used as surgeries for surgical treatment of chronic subdural hematoma.