[摘要]目的 分析YL-1型针引流联合尿激酶冲洗在慢性硬膜下血肿中的治疗效果。方法 选择我院神经外科2012年3月～2016年5月收治的92例慢性硬膜下血肿患者作为研究对象，计算机随机分为常规组与实验组。常规组患者采取单纯钻孔引流法治疗，实验组给予YL-1型针引流联合尿激酶冲洗治疗，对比两组治疗效果。结果 实验组与常规组患者的治疗总有效率分别为97.83%与84.78%(P<0.05)；实验组血肿消失时间、残存硬膜下积液率、血肿复发率分别为(7.22±2.12) d、2.17%、0.00%，均明显优于常规组(P<0.05)；治疗前两组患者的生存质量评分无明显差异(P>0.05)；治疗后实验组患者生存质量评分均明显优于常规组(P<0.05)。结论 对慢性硬膜下血肿患者采取YL-1型针引流联合尿激酶冲洗治疗的临床疗效显著，可有效降低血肿复发率，具有手术安全性高、创伤小、简便易行等优势，可帮助患者提高生存质量，值得推广。

    [关键词]慢性硬膜下血肿；尿激酶；YL-1型针；引流；冲洗

    [中图分类号] R651.154 [文献标识码] A [文章编号] 1674-4721(2017)07(b)-0048-04

    [Abstract]Objective To analyze the therapeutic effect of YL-1 needle drainage combined with Urokinase rinsing on treating chronic subdural hematoma.Methods 92 patients with chronic subdural hematoma admitted into the department of neurosurgery in our hospital from March 2012 to May 2016 were selected as research objects.They were divided into two groups including conventional group and experimental group.In the conventional group ......