46例慢性硬膜下血肿微创治疗的疗效分析

目的观察微创穿刺抽吸、冲洗引流治疗慢性硬膜下血肿（CSDH）的疗效。方法本组46例CS-DH均经头颅CT检查确诊,采用YL-1型一次性使用颅内血肿粉碎穿刺针进行血肿微创穿刺抽吸、冲洗引流,血肿量60～180mL,引流时间3～5d。结果46例中,44例经1次穿刺抽吸、冲洗引流后治愈;2例血肿复发,改行钻孔引流反复冲洗,术后治愈,无合并症,无死亡。结论CSDH行微创穿刺抽吸、冲洗引流,创伤小、效果好、简便易行,可作为CSDH的有效治疗方法。

Curative Effect of Minimally lnvasive Puncture and Suction Drainage in 46 Cases of Chronic Subdural Hematoma

Objective To observe the curative effect of minimally invasive operation(puncture,aspiration and drainage) for chronic subdural hematoma(CSDH).Methods In the 46 CSDH cases diagnosed finally by head CT,the YL-1 disposable puncture needle was used to make a puncture for removing the hematoma.The removed hematoma reached 60～180 mL,and the drainage time ranged 3～5 d.Results Of the 46CSDH cases,44 cases were cured after the minimally invasive operation,2 patients who had recurrence were cured after the operation puncture.drainage and repeated flushing without complications and death.Conclusion The minimally invasive operation puncture,aspiration,flushing and drainage is effective and convenient for CSDH.