| 慢性硬膜下血肿术后复发诊治分析 |
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| 引用本文： | 刘红林,丁丙谦,陈小兵,周玉璞,段国庆. 慢性硬膜下血肿术后复发诊治分析[J]. 医药论坛杂志, 2006, 27(15): 24-25 |
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| 作者姓名： | 刘红林 丁丙谦 陈小兵 周玉璞 段国庆 |
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| 作者单位： | 河南大学淮河医院神经外科,开封市,475000;河南大学淮河医院神经外科,开封市,475000;河南大学淮河医院神经外科,开封市,475000;河南大学淮河医院神经外科,开封市,475000;河南大学淮河医院神经外科,开封市,475000 |
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| 摘 要： | 目的探讨慢性硬膜下血肿(CSDH)术后复发的原因及其治疗方法。方法12例复发者再次手术,切取的包膜作病理切片,光镜下观察包膜组织的变化。结果11例复发者经再次手术治疗治愈,1例在一周内再次复发,经第三次手术治愈。手术标本光镜下观察发现包膜内血管增生伴大量嗜酸性粒细胞浸润。结论手术操作轻柔,避免颅内压急剧变化和血肿残留,保持引流通畅,是降低CSDH术后复发的有效措施。慢性硬膜下血肿复发的首选治疗方法是钻孔引流术。
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| 关 键 词： | 慢性硬膜下血肿 手术 复发 |
| 文章编号： | 1672-3422(2006)15-0024-02 |
| 收稿时间： | 2006-04-26 |
| 修稿时间： | 2006-04-26 |
Analysis of Causes and Treatment of Postoperative Recurrence in Chronic Subdural Hematoma |
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| LIU Honglin, DING Bingqian, CHEN Xiaobing, et al. Analysis of Causes and Treatment of Postoperative Recurrence in Chronic Subdural Hematoma[J]. Journal of Medical Forum, 2006, 27(15): 24-25 |
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| Authors: | LIU Honglin DING Bingqian CHEN Xiaobing et al |
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| Affiliation: | Department of Neurosurgery, Huaihe Hospital of Henan University, Kaifeng 475000, China |
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| Abstract: | Objective To analyse the causes and treatment of postoperative recurrence in chronic subdural hematoma(CSDH). Methods Pieces of the resected capsule taken from 12 of 147 reoperated cases were examinated under microscopy.Results 11of 12 recurrenced cases were cured by reoperation,with one recurrenced secondly.Proliferation of capillaries and invasion of huge amounts of eosinophil granulocytes in the intima if the capsule were observed in the surgical specimen under microscopy.Conclusion Meticulous manipulation,protection from abrupt change of intracrantial pressure and prevention of residual blood clots in the capsule,patent drainage are the efficient ways to decrease the postoperative recurrence rate in CSDH.Burr hole craniotomy with closed-system drainage is effective for the initial treatment of postoperative recurrence in CSDH. |
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| Keywords: | Chronic subdural hematona Surgery Recurrence |
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