[慢性硬膜下血肿的外科治疗]
[Surgical management of chronic subdural hematoma].
作者信息
Liu Zhi-xiong, Jiang Wei-xi, Ding Xi-ping
机构信息
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China.
出版信息
Hunan Yi Ke Da Xue Xue Bao. 2003 Feb 28;28(1):47-9.
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.
目的
报告慢性硬膜下血肿（CSDH）的外科治疗经验。
方法
回顾性分析156例CSDH患者的临床特征、影像学表现、手术技术及预后。
结果
所有156例患者均首先采用钻孔开颅闭式引流治疗，其中156例中有10例再次行较大开颅手术。所有患者中，143例（91.7%）治愈，8例（5.1%）复发，3例（1.9%）出现偏瘫，2例（1.3%）因其他疾病死亡。
结论
钻孔开颅闭式引流对CSDH的初始治疗有效。仅对血肿积聚的患者进行开颅手术。
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