钻孔冲洗引流术治疗慢性硬膜下血肿

目的探讨慢性硬膜下血肿手术治疗方法。方法回顾分析130例慢性硬膜下血肿病人的临床特点、神经影像学资料、治疗方法和结果。结果全部病例均采用钻单孔血肿腔冲洗加引流术,患者颅内高压、脑受压的症状、体征,均在术后24 h内明显好转。术后未有气颅、再出血、感染、癫痫等并发症发生。结论只要明确诊断,选择钻单孔冲洗引流血肿液,置换入生理盐水,可以有效地避免复发、气颅、颅内出血、脑脊液漏等并发症,一般均能取得良好预后。钻单孔冲洗引流术是比较理想的治疗方法。

Burr Hole Irrigation and Drainage in the Treatment of Chronic Subdural Hematoma

Objective To investigate the surgical treatment of chronic subdural hematoma.Methods A retrospective analysis of 130 cases of chronic subdural hematoma,clinical features,neuroimaging data,treatment methods and results.Results All patients were treated with burr single-hole hematoma cavity irrigation and drainage.Intracranial pressure,brain pressure symptoms,physical symptoms improved markedly within 24 h post operation.No pneumocephalus,bleeding,infection,epilepsy and other complications occurred after surgery.Conclusion In the base of clear diagnosis,choose burr single-hole irrigation and drainage of hematoma fluid,replacement into the saline,can effectively avoid the recurrence,pneumocephalus,intracranial hemorrhage,cerebrospinal fluid leak and other complications,and generally able to achieve a good prognosis.The burr single-hole drainage surgery is the ideal method of the treatment.