陈龙营 王超

    【摘要】 目的：探討不同方案治疗颅脑损伤去骨瓣减压术(DC)后并发进展型硬膜下积液(SDE)患者的效果及对预后的影响。方法：选择2019年1月-2020年11月临沂市中心医院收治的51例颅脑损伤DC后并发进展型SDE患者，按照随机数字表法将其分为对照组(n=25)和观察组(n=26)。对照组给予硬膜下积液钻孔引流术治疗，观察组在对照组基础上予以腰大池持续引流术治疗。观察两组患者手术疗效、恢复情况、认知功能以及并发症发生情况。结果：观察组总有效率为92.31%，高于对照组的64.00%(P<0.05)。观察组恢复情况优于对照组(P<0.05)。术后6个月，观察组定向力、记忆力、注意力和计算力、回忆能力以及语言能力评分均高于对照组(P<0.05)。术后，观察组颅内感染、癫痫、纵裂积液、脑积水以及切口愈合不良的总发生率为19.24%，低于对照组的48.00%(P<0.05)。结论：硬膜下积液钻孔引流术联合腰大池持续引流术，可促进颅脑损伤DC后并发进展型SDE患者意识情况和认知功能恢复，进而提高临床疗效，且并发症发生率更低。

    【关键词】 进展型硬膜下积液 腰大池持续引流 钻孔引流术 认知功能

    Effect of Different Schemes on Patients with Progressive Subdural Effusion after Decompressive Craniectomy of Head Injury and Its Influence on Prognosis/CHEN Longying， WANG Chao. //Medical Innovation of China， 2022， 19(08)： -127

    [Abstract] Objective： To explore the effect of different schemes on patients with progressive subdural effusion (SDE) after decompressive craniectomy (DC) of head injury and its influence on prognosis. Method： A total of 51 patients with progressive SDE after head injury DC admitted to Linyi Central Hospital from January 2019 to November 2020 were selected and divided into control group (n=25) and observation group (n=26) according to random number table method. The control group was treated with subdural effusion drilling and drainage ......