目的分析比较慢性硬膜下血肿采用微创穿刺术与钻孔引流术的治疗效果与可靠性。方法 142例慢性硬膜下血肿患者随机分成对照组(54例)和观察组(88例),对照组患者采用钻孔引流术治疗,观察组患者采用微创穿刺术治疗,对两组患者手术时间、术中出血量、平均住院时间、治疗总有效率和并发症发生率进行比较。结果对照组患者手术时间为(29.1±4.5)min、观察组患者手术时间为(21.3±3.7)min,两组比较差异具有统计学意义(P<0.05);对照组患者术中出血量为(31.6±4.4)ml,观察组患者术中出血量为(7.3±1.2)ml,两组比较差异具有统计学意义(P<0.05);对照组患者平均住院时间(12.1±3.2)d,观察组患者平均住院时间(8.8±2.9)d,两组比较差异具有统计学意义(P<0.05);对照组患者治疗总有效率为83.33%,观察组患者治疗总有效率为94.32%,两组比较差异无统计学意义(P>0.05);对照组患者并发症的发生率为14.81%,观察组患者并发症的发生率为4.55%,两组比较差异具有统计学意义(P<0.05)。结论慢性硬膜下血肿采用微创穿刺术与钻孔引流术治疗均可以达到满意的疗效,但微创穿刺术具有术中出血量少、手术时间短、住院时间短和术后并发症少的特点,优于钻孔引流术,更适合在临床推广应用。 Objective To compare the curative effect and reliability of using minimally invasive puncture with drilling drainage in the treatment of chronic subdural hematoma. Methods 142 patients with chronic subdural hematoma were randomly divided into control group (54 cases) and observation group (88 cases). Patients in control group were treated by drilling drainage. Patients in observation group were treated by minimally invasive puncture. Time, intraoperative blood loss, average length of stay, total effective rate of treatment and complication rate were compared. Results The operation time of the control group was (29.1 ± 4.5) min and the operation time of the observation group was (21.3 ± 3.7) min, the difference was statistically significant (P <0.05). The blood loss in the control group was ( 31.6 ± 4.4) ml. The bleeding volume in the observation group was (7.3 ± 1.2) ml, the difference between the two groups was statistically significant (P <0.05); the average length of stay in the control group was (12.1 ± 3.2) days; the observation group The average length of hospital stay was (8.8 ± 2.9) days. The difference between the two groups was statistically significant (P <0.05). The total effective rate was 83.33% in the control group and 94.32% in the observation group. Comparing the two groups There was no significant difference between the two groups (P> 0.05). The incidence of complications in the control group was 14.81%, and the incidence of complications in the observation group was 4.55%. There was significant difference between the two groups (P <0.05). Conclusion Minimally invasive puncture and drainage with drainage are effective in treating chronic subdural hematoma. However, minimally invasive puncture has the advantages of less intraoperative blood loss, shorter operative time, shorter hospital stay and fewer postoperative complications Features, better than drilling drainage, more suitable for clinical application.