100例慢性硬膜下血肿手术治疗的疗效及愈后分析

目的：探讨慢性硬膜下血肿的发病机理及临床表现检查方法及治疗方案。方法方便选取并回顾性分析该科从2009年5月—2015年5收治的100例慢性硬膜下血肿患者的临床资料，100例患者行钻孔冲洗引流术，或者小骨窗开颅清除术。结果术后患者的临床症状显著改善，9例患者出现血肿残留，残留量为10~30 mL，2例钻孔引流术后出现硬膜下血肿，再次行钻孔冲洗引流术后血肿消失，硬膜下血肿出现机化及分隔的14例，钻孔引流后效果不佳，改为小骨窗开颅硬膜下血肿清除术，术后效果良好。随访半年到两年，复发8例。结论钻孔引流术是治疗慢性硬膜下血肿首选手术方法。

Curative Effect and Prognosis of 100 Cases with Chronic Subdural Hematoma

Objective To discuss the pathogenesis of chronic subdural hematoma and clinical manifestations, laboratory ex-amination methods and treatment programs. Methods Convenient selection and a system retrospectively analyzed clinical data of our department in patients with chronic subdural hematoma in 100 cases in May 2009 to May 2015 admitted from 100 patients underwent drainage drilling flush, or a small bone window craniotomy dissection. Results The clinical symp-toms of patients improved significantly, nine patients had hematoma residues, residual volume to 10 ~ 30 mL, 2 subdural hematoma drainage, irrigation and drainage drilling line again disappear postoperative hematoma, subdural hematoma ma-chine and separated 14 cases of poor drainage after drilling results, to a small bone window under craniotomy subdural hematoma, good postoperative results. Follow-up of six months to two years, eight cases of recurrence. Conclusion The drilling drainage of chronic subdural hematoma is the preferred surgical method.