不同方案治疗颅脑损伤去骨瓣减压术后并发进展型硬膜下积液的临床疗效观察

范英俊; 王琼芬; 杨中鑫; 刘海波; 张杰; 王恩任

doi:10.16016/j.1000-5404.201912170

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不同方案治疗颅脑损伤去骨瓣减压术后并发进展型硬膜下积液的临床疗效观察

临床医学 | 更新时间：2026-01-09

- 不同方案治疗颅脑损伤去骨瓣减压术后并发进展型硬膜下积液的临床疗效观察
- Efficacy of different treatments for progressive subdural effusion after decompressive craniectomy for craniocerebral injury
- 第三军医大学学报 2020年42卷第8期页码：835-840
- 作者机构：
- 作者简介：
- 基金信息：
  
  四川省教育厅自然科学基金(17ZA0135)
- DOI：10.16016/j.1000-5404.201912170
  中图分类号：
- 收稿：2019-12-18，
  
  纸质出版：2020-04-30
- 稿件说明：
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范英俊, 王琼芬, 杨中鑫, 等. 不同方案治疗颅脑损伤去骨瓣减压术后并发进展型硬膜下积液的临床疗效观察[J]. 第三军医大学学报, 2020,42(8):835-840.

Yingjun FAN, Qiongfen WANG, Zhongxin YANG, et al. Efficacy of different treatments for progressive subdural effusion after decompressive craniectomy for craniocerebral injury[J]. Journal of Third Military Medical University, 2020, 42(8): 835-840.
范英俊, 王琼芬, 杨中鑫, 等. 不同方案治疗颅脑损伤去骨瓣减压术后并发进展型硬膜下积液的临床疗效观察[J]. 第三军医大学学报, 2020,42(8):835-840. DOI： 10.16016/j.1000-5404.201912170.

Yingjun FAN, Qiongfen WANG, Zhongxin YANG, et al. Efficacy of different treatments for progressive subdural effusion after decompressive craniectomy for craniocerebral injury[J]. Journal of Third Military Medical University, 2020, 42(8): 835-840. DOI： 10.16016/j.1000-5404.201912170.

摘要

Abstract

Objective

To investigate the clinical efficacy and complications of different treatments for progressive subdural effusion (SDE) after decompressive craniectomy for craniocerebral injury.

Methods

We retrospectively analyzed the clinical and follow-up data of 65 patients with progressive SDE after decompressive craniectomy for craniocerebral injury

who were admitted in our hospital between February

2013 and March

2019. Thirty-four of the patients (21 male and 13 female patients) received borehole drainage or local puncture drainage combined with compression dressing with elastic bandage and continuous drainage of the lumbar cistern (observation group)

and 31 (17 male and 14 female patients) received borehole drainage or local puncture drainage with compression dressing with elastic bandage (control group). The occurrence time of SDE

retention time of head drainage tube

hospital stay after treatment

one-off cure rate and the incidence of complications were analyzed in the 2 groups

and the Glasgow Outcome Scale (GOS) scores of patients before and at 3 and 6 months after the treatment were compared.

Results

The retention time of head drainage tube

the time from local drainage to SDE disappearance and hospital stay after treatment were significantly shorter (

0.05)

and the one-off cure rate (

0.05) was significantly higher in the observation group than in the control group. The overall incidence of complications was 23.53% in the observation group and 48.39% in the control group

showing a significant difference between the 2 groups (

0.05). There was no significant difference in GOS scores between the 2 groups before the treatments (

0.05)

but at 3 and 6 months after the treatments

GOS scores was significantly higher in the observation group than in the control group (

0.05).

Conclusion

For patients with progressive SDE after decompressive craniectomy for craniocerebral injury

combined treatment with borehole drainage or local puncture drainage

compression dressing with elastic bandage and continuous drainage of the lumbar cistern can improve the one-off cure rate of SDE

reduce the incidence of the overall complications

shorten the duration of hospital stays and improve the prognosis of the patients.

关键词

Keywords

references

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