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目的比较常规冠状开颅入路与经眉弓眶上锁孔入路治疗单侧额部硬膜外血肿的效果。方法选取新疆医科大学第一附属医院神经外科中心2013年3月~2016年3月收治的54例单侧额部硬膜外血肿患者作为研究对象,随机分为对照组和锁孔组,各27例。分别给予常规冠状开颅术与经眉弓眶上锁孔入路治疗,比较两组患者手术时间、术中出血量、住院天数、住院费用及预后效果。结果两组均无中残、重残及死亡患者,两组的良好率及轻残率比较差异无统计学意义(均P>0.05);锁孔组术中手术时间、术中出血量、住院天数、住院费用明显优于对照组,差异有统计学意义(均P<0.01)。结论经眉弓眶上锁孔入路治疗单侧额部硬膜外血肿,能够缩短手术时间,具有安全、失血少、简单、创伤小、术后恢复快等优点。
Objective To compare the effect of conventional craniotomy and transalbital supraorbital keyhole approach on unilateral forehead epidural hematoma. Methods 54 patients with unilateral forehead epidural hematoma admitted to the Department of Neurosurgery, the First Affiliated Hospital of Xinjiang Medical University from March 2013 to March 2016 were randomly divided into control group and keyhole group example. The patients were given conventional coronary craniotomy and supraorbital keyhole approach respectively. The operation time, intraoperative blood loss, hospitalization days, hospitalization expenses and prognosis were compared between the two groups. Results There were no cases of moderate residual disability, severe disability and death in both groups. There was no significant difference in good rate and mild disability rate between the two groups (all P> 0.05); operation time, intraoperative blood loss, The days and hospitalization costs were significantly better than those in the control group (all P <0.01). Conclusion The treatment of unilateral supratentorial epidural hematoma by means of the supraorbital keyhole approach can shorten the operation time, with the advantages of safety, less blood loss, simple, less trauma and faster postoperative recovery.