经额部钻孔冲洗引流治疗慢性硬膜下血肿

目的 探讨经额部钻孔冲洗引流治疗慢性硬膜下血肿的临床疗效与安全性.方法 回顾性分析我院行手术治疗的慢性硬膜外血肿患者80例,根据钻孔方法的不同分为两组：传统的经血肿最厚处钻孔引流组（传统组,48例）、经额部钻孔冲洗引流组（经额组,32例）,比较两组患者疗效和并发症的差异.结果 与传统组相比较,经额组的临床疗效显著增加,术后复发率和并发症发生率显著降低.结论经额部钻孔冲洗引流治疗慢性硬膜下血肿安全、有效.

Treatment of irrigation and drainage through frontal burr-hole for chronic subdural hematoma

Objective To investigate the effects of irrigation and drainage through frontal burr hole on chronic subdural hematoma （CSDH） and its safety. Methods Eighty patients with CSDH were retrospectively reviewed. According to the operative method, all patients were divided into traditionary drainage through thickest part of hematoma （traditionary group, 48 cases） and traditionary drainage through frontal burr hole group （ frontal group, 32 cases）. The therapeutic effect and complication were compared between the two groups. Results Compared with the traditionary group, the clinical effect in the frontal group was better, and the recurrence rate and the incidence of complications were lower significantly. Conclusion The irrigation and drainage through frontal burr hole is an effective and safe method in the treatment of patients with CSDH.