[1]王志刚.硬通道钻孔引流术对慢性硬膜下血肿患者血肿清除率、术后复发率的影响[J].医学信息,2025,38(13):138-141.[doi:10.3969/j.issn.1006-1959.2025.13.027]
　WANG Zhigang.Effect of Hard Channel Drilling and Drainage on Hematoma Clearance Rate and Postoperative Recurrence Rate in Patients with Chronic Subdural Hematoma[J].Journal of Medical Information,2025,38(13):138-141.[doi:10.3969/j.issn.1006-1959.2025.13.027]
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硬通道钻孔引流术对慢性硬膜下血肿患者血肿清除率、术后复发率的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年13期
页码:
138-141
栏目:
论著
出版日期:
2025-07-01

文章信息/Info

Title:
Effect of Hard Channel Drilling and Drainage on Hematoma Clearance Rate and Postoperative Recurrence Rate in Patients with Chronic Subdural Hematoma
文章编号:
1006-1959（2025）13-0138-04
作者:
王志刚
湖口县中医医院神经外科，江西 湖口 332500
Author(s):
WANG Zhigang
Department of Neurosurgery, Hukou Hospital of Traditional Chinese Medicine, Hukou 332500, Jiangxi, China
关键词:
硬通道钻孔引流术; 慢性硬膜下血肿; 血肿清除率; 术后复发率
Keywords:
Hard channel drilling and drainage;  Chronic subdural hematoma;  Hematoma clearance rate;  Postoperative recurrence rate
分类号:
R651
DOI:
10.3969/j.issn.1006-1959.2025.13.027
文献标志码:
A
摘要:
目的 观察硬通道钻孔引流术对慢性硬膜下血肿患者血肿清除率、术后复发率的影响。方法 选取2020年1月-2024年3月湖口县中医医院收治的60例慢性硬膜下血肿患者为研究对象，根据随机数字表法将其分为对照组和研究组，每组30例。对照组使用常规钻孔引流术治疗，研究组采用硬通道钻孔引流术治疗。比较两组临床疗效、临床指标（临床症状改善时间、术后引流时间、住院时间及血肿消失时间）、血肿清除率、术后复发率。结果 相较于对照组治疗总有效率的73.33%，研究组治疗总有效率更高，达96.67%（P＜0.05）；相较于对照组，研究组临床症状改善时间、术后引流时间、住院时间、血肿消失时间均更短（P＜0.05）；相较于对照组血肿清除率的83.33%、术后血肿复发率的16.67%，研究组血肿清除率更高（96.67%），术后血肿复发率更低（3.33%）（P＜0.05）。结论 硬通道钻孔引流术治疗慢性硬膜下血肿患者的效果确切，能够提高患者血肿清除率，降低术后复发率，加快患者术后康复速度，值得临床应用。
Abstract:
Objective To evaluate the effect of hard channel drilling and drainage on hematoma clearance rate and postoperative recurrence rate in patients with chronic subdural hematoma. Methods A total of 60 patients with chronic subdural hematoma admitted to Hukou County Hospital of Traditional Chinese Medicine from January 2020 to March 2024 were selected as the research objects. According to the random number table method, they were divided into control group and study group, with 30 patients in each group. The control group was treated with conventional drilling and drainage, and the study group was treated with hard channel drilling and drainage. The clinical efficacy, clinical indicators (clinical symptom improvement time, postoperative drainage time, hospitalization time and hematoma disappearance time), hematoma clearance rate and postoperative recurrence rate were compared between the two groups. Results Compared with 73.33% of the total effective rate of the control group, the total effective rate of the study group was higher, reaching 96.67% (P<0.05). Compared with the control group, the improvement time of clinical symptoms, postoperative drainage time, hospitalization time and hematoma disappearance time in the study group were shorter (P<0.05). Compared with 83.33% of the hematoma clearance rate and 16.67% of the postoperative hematoma recurrence rate in the control group, the hematoma clearance rate in the study group was higher (96.67%), and the postoperative hematoma recurrence rate was lower (3.33%) (P<0.05). Conclusion Hard channel drilling and drainage is effective in the treatment of patients with chronic subdural hematoma, which can improve the hematoma clearance rate, reduce the postoperative recurrence rate and accelerate the postoperative recovery rate of patients. It is worthy of clinical application.

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更新日期/Last Update: 1900-01-01