本文關(guān)鍵詞： 硬膜下積液 手術(shù)方式 治療結(jié)果 危險因素　出處：《重慶醫(yī)學(xué)》2017年17期 　論文類型：期刊論文

【摘要】：目的探討不同手術(shù)方式治療進(jìn)展型硬膜下積液(TSE)的臨床療效及影響手術(shù)療效的相關(guān)因素。方法選取2011年1月至2015年6月165例于遵化市第二醫(yī)院行手術(shù)治療的進(jìn)展型TSE患者作為研究對象,其中70例行鉆孔引流術(shù)(A組),57例行帶蒂顳肌瓣填塞術(shù)(B組),38例行硬膜下腔-腹腔分流術(shù)(C組)。比較3組患者的臨床療效,并分析影響手術(shù)療效的相關(guān)因素。結(jié)果 B組和C組的術(shù)后住院時間、治愈率和治療有效率均高于于鉆孔組,術(shù)后神經(jīng)功能缺損評分均低于鉆孔組,C組的術(shù)后住院時間亦高于B組,且差異均有統(tǒng)計學(xué)意義(均P0.05)。但3組的術(shù)后并發(fā)癥發(fā)生率的差異無統(tǒng)計學(xué)意義(均P0.05)。手術(shù)治療總體有效率為81.8%(135/165)。單因素分析結(jié)果顯示手術(shù)療效與年齡、積液量、手術(shù)方式、使用脫水劑有關(guān)(均P0.05)。多因素分析結(jié)果顯示年齡≥60歲和積液量≥100mL是影響手術(shù)療效的獨立危險因素,行帶蒂顳肌瓣填塞術(shù)、硬膜下腔-腹腔引流術(shù)和不使用脫水劑是影響手術(shù)療效的保護(hù)性因素(均P0.05)。結(jié)論帶蒂顳肌瓣填塞術(shù)和硬膜下腔-腹腔引流術(shù)治療進(jìn)展型TSE患者的手術(shù)療效相當(dāng),均優(yōu)于鉆孔引流術(shù),但均存在一定的手術(shù)無效率,尤其是對于年齡≥60歲、積液量≥100mL和使用脫水劑的患者。
[Abstract]:Objective to investigate the clinical efficacy of different surgical methods in the treatment of progressive subdural effusion (TSE) and the related factors affecting the surgical efficacy. Methods from January 2011 to June 2015, 165 patients with advanced subdural effusion were treated in Zunhua second Hospital. Type type TSE patients, 70 cases were treated with drilling and drainage, 57 cases with pedicle temporalis muscle flap tamponade and 38 cases with subdural cavities and peritoneal shunt in group B. The clinical efficacy of the three groups was compared. Results the postoperative hospitalization time, cure rate and effective rate in group B and C were higher than those in group B and group C. The postoperative neurological deficit score was lower in group C than that in group C, and the postoperative hospitalization time in group C was higher than that in group B. The difference was statistically significant (all P 0.05), but there was no significant difference in the incidence of postoperative complications among the three groups (all P 0.05). The total effective rate of operation was 81.8%, 135 / 165%. The results of univariate analysis showed that the effect of operation was related to age, volume of effusion, and operation mode, but there was no significant difference in the incidence of postoperative complications among the three groups (P < 0.05). The results of multivariate analysis showed that age 鈮，

本文編號：1523625