双针穿刺治疗老年患者慢性硬膜下血肿

目的 总结30例经皮双针穿刺引流治疗老年患慢性硬膜下血肿效果，探讨慢性硬膜下血肿治疗方法。方法 本组30例慢性硬膜下血肿均经CT检查确诊，都行经皮双针穿刺引流术。结果 所有病例术后l～3d复查CT，血肿腔缩小90％以上，除10例有颅内积气外，未见颅内血肿、颅内感染、肺部感染和其它并发症。术后3～7d拔针，穿刺点一期愈合，痊愈出院，随访6-24月未见复发。结论 经皮双针穿刺引流治疗慢性硬膜下血肿是一种微创、简单、高效和并发症少的方法，但穿刺针需要作改进。

Treatment of elderly patients with chronic subdural hematoma by di-needles percutaneous puncture irrigation and closed-system drainage

Objective To summarize the experience of treating elderly patients with chronic subdural hematoma (CSDH) by di-needles percutaneous puncture irrigation and closed-system drainage and to discuss the surgical therapy for CSDH. Methods 30 patients (25 males and 5 females; average age: 65 years) who were affirmatively diagnosed as CSDH by computer tomorgraphy scanning, were treated by di-needles percutaneous puncture irrigation and closed-system drainage. Results All patients were re-examined by computed tomography 1-3 d after operation. The results showed that haematoma bores were withered by 90 % or more, and no encephalic haematoma, pulmonary infection, intracranial infection as well as other complications were found except 10 cases of pneumocephalus. After paracentetic needles were pulled out 3-5 day after operation, all the patients got recovered and discharged, with puncture spot's primarily healing. Follow-up for 6-24 months showed that no recurrence occurred. Conclusion Di-needles percutaneous puncture irrigation and closed-system drainage were minimally invasive, simple, effective and even with few complications in the treatment of elderly patients with CSDH. However, the puncture needles need improvement.