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目的比较徒手定位锥颅引流和简易头皮定位锥颅引流治疗自发性基底节小血肿的效果。方法自发性基底节血肿患者67例,采用徒手定位锥颅引流42例,简易头皮定位锥颅引流25例,术后均给予尿激酶溶解血肿。比较两组的引流效果。结果徒手定位锥颅引流组与简易头皮定位锥颅引流组引流效果相比无明显差异(P>0.05),但徒手定位锥颅引流组置管时间明显延长(P<0.05)。结论对于小血肿徒手定位单孔引流疗效满意,但可能需要反复调整引流管。微创穿刺血肿腔引流加尿激酶冲洗简单易行,血肿清除率高,术后恢复好。
Objective To compare the effect of craniofacial drainage by freehand positioning and skull drainage by simple scalp in the treatment of spontaneous basal ganglia hematoma. Methods Sixty-seven patients with spontaneous basal ganglia hematoma were randomly divided into two groups. Forty-two cases were treated by cranial skull drainage with bare hands and 25 cases with skull drainage by simple scalp fixation. All patients were given urokinase hematoma after operation. The drainage effect was compared between the two groups. Results There was no significant difference in the drainage effect between the skull drainage group and the scalp drainage skull drainage group (P> 0.05). However, the positioning time of the skull drainage group was significantly longer (P <0.05). Conclusions The curative effect of single hole drainage with free hand positioning of small hematoma is satisfactory, but it may be necessary to adjust the drainage tube repeatedly. Minimally invasive punctual hematoma cavity drainage and urokinase flushing simple, high hematoma clearance, good postoperative recovery.