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目的:分析微创引流术与开颅术在硬脑膜外血肿患者围手术期的治疗体会及临床疗效评价。方法:选取本院2015年1月至2016年10月期间诊断为硬脑膜外血肿的患者100例,随机均分成两组,即对照组和观察组。对照组采用常规开颅手术,观察组给予微创引流手术治疗。比较两组手术效果及治疗前后生活质量改善情况。结果:观察组手术效果优于对照组(P<0.05);观察组颅脑缺损(0%)、再出血率(6%)明显低于对照组(12%,20%)(P<0.05),观察组生活质量高于对照组(P<0.05)。结论:与常规开颅术相比,微创引流术创伤小、恢复快、效果好,值得临床推广应用。
Objective: To analyze the experience of perioperative treatment of patients with epidural hematoma by minimally invasive drainage and craniotomy and evaluate their clinical curative effect. Methods: One hundred patients diagnosed as epidural hematoma from January 2015 to October 2016 in our hospital were randomly divided into two groups: control group and observation group. Control group using conventional craniotomy, the observation group was treated with minimally invasive drainage. The effects of surgery and quality of life before and after treatment were compared between the two groups. Results: The operative effect of the observation group was better than that of the control group (P <0.05). The rate of brain injury (0%) and rebleeding rate (6%) in the observation group was significantly lower than that in the control group (12%, 20% , The quality of life in the observation group was higher than that in the control group (P <0.05). Conclusion: Compared with conventional craniotomy, minimally invasive drainage trauma is small, fast recovery, good effect, worthy of clinical application.