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慢性硬膜下血肿的手术治疗
引用本文:刘志雄,姜维喜,丁锡平,杨治权,陈凌,奚健,万新,蒋星军,方加胜.慢性硬膜下血肿的手术治疗[J].中南大学学报(医学版),2003,28(1):47-49.
作者姓名:刘志雄  姜维喜  丁锡平  杨治权  陈凌  奚健  万新  蒋星军  方加胜
作者单位:中南大学湘雅医院神经外科,长沙,410008
摘    要:目的 :总结慢性硬膜下血肿手术治疗的经验及疗效。方法 :回顾性分析 15 6例慢性硬膜下血肿患者的临床及神经影像学特征、手术方法和经验。结果 :15 6例患者均采用钻孔冲洗引流术 ,其中 10例患者改行开颅血肿清除术。 14 3例治愈 ,8例术后症状无改善 ,经原钻孔再次引流手术后治愈 ,3例因引流管移位进入脑组织致术后出现偏瘫或偏瘫加重 ,2例术后 1月内死于其它疾病。结论 :慢性硬膜下血肿的首选方法是钻孔引流术 ,对于包膜肥厚或血肿尚未完全液化者 ,宜采用骨瓣开颅手术治疗

关 键 词:血肿  硬膜下    外科  手术    回顾性研究  
文章编号:1000-5625(2003)01-0047-03
修稿时间:2002年8月18日

Surgical management of chronic subdural hematoma
LIU Zhi xiong,JIANG Wei xi,DING Xi ping,et al..Surgical management of chronic subdural hematoma[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),2003,28(1):47-49.
Authors:LIU Zhi xiong  JIANG Wei xi  DING Xi ping  
Institution:(Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008,China)
Abstract:Objective To report the experience of surgical treatment of chronic subdural hematoma (CSDH). Methods The clinical features, radiological findings, operative techniques and outcome of 156 patients with CSDH were analysized retrospectively. Results All the patients (156) were initially treated by burr hole craniostomy with closed system drainage, and 10 out of the 156 patients were reoperated by larger craniotomy. Of all the patients, 143 (91.7%) were cured, 8 (5.1%) had recurrence, 3 (1.9%) got hemiparalysis, and 2 (1.3%) died due to other diseases. Conclusion Burr hole craniostomy with closed system drainage is effective for the initial treatment of CSDH. Craniotomy should be carried out only in patients with accumuating hematomas.
Keywords:hematoma  subdural  surgery  operative  retrospective studies
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