| 慢性硬膜下血肿的手术治疗 |
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| 引用本文： | 刘志雄 姜维喜 等. 慢性硬膜下血肿的手术治疗[J]. 湖南医科大学学报, 2003, 28(1): 47-49 |
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| 作者姓名： | 刘志雄 姜维喜 等 |
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| 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156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：156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。143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。
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| 关 键 词： | 血肿 硬膜下 外科 手术 回顾性研究 |
Surgical management of chronic subdural hematoma] |
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| Zhi-xiong Liu,Wei-xi Jiang,Xi-ping Ding. Surgical management of chronic subdural hematoma][J]. Bulletin of Hunan Medical University, 2003, 28(1): 47-49 |
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| Authors: | Zhi-xiong Liu Wei-xi Jiang Xi-ping Ding |
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| Affiliation: | Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China. |
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| 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 analyzed 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 accumulating hematomas. |
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