微创治疗急性硬膜外血肿

目的:探讨微创治疗急性硬膜外血肿的方法及临床实用性。方法:对53例急性硬膜外血肿患者进行3孔悬吊,单管尿激酶溶解血肿引流治疗,对治疗效果进行总结。结果:47例临床治愈,2例术后原发部位血肿增加,实施开颅硬膜外血肿清除手术后治愈。4例术后并发同侧或对侧脑内血肿,好转3例,死亡1例。结论:3孔悬吊,单管尿激酶溶解血肿引流是急性硬膜外血肿的一种简易、有效、安全的治疗方法。

The treatment of acute extradural hematoma with minimally invasive surgery

Objective To explore the therapeutic and clinic practice of minimally invasive surgery on acute extradural hematoma. Method 53 cases'meninges were suspended through 3 skull holes ,drain hematoma by a drainage tube and injection of urokinase, the therapeutic effect was summarized. Results 47 cases were cured. After the surgery 2 cases'hematoma of the same position increased and were cured after the surgery of incision skull . intracerebral hematoma in the same side or the other side were observed in 4 cases and 3 of them were on the mend, 1 of them died. Conclusion Suspended through 3 skull holes and drain hematoma by a drainage tube and injection of urokinase is a simple,effective and safe treatment method for acute extradural hematoma.