对于慢性硬膜下血肿的钻孔引流术，有没有办法避免手术并发症？
Is there a way to avoid surgical complications of twist drill craniostomy for evacuation of a chronic subdural hematoma?
作者信息
Sucu H K, Gökmen M, Ergin A, Bezircioğlu H, Gökmen A
机构信息
Izmir Atatürk Research and Training Hospital, Izmir, Turkey.
出版信息
Acta Neurochir (Wien). 2007 Jun;149(6):597-9. doi: 10.1007/s00701-007-1162-9. Epub 2007 May 7.
BACKGROUND
Although twist drill craniostomy for evacuation of a chronic subdural hematoma is a rapid and minimally invasive procedure, it carries the risk of complications because it is a 'blind' technique. Our aim was to analyse the complications in a series of patients treated by this technique in order to identify methods of avoidance by modifications in the surgical technique.
METHOD
Thirty-nine patients with a chronic subdural hematoma underwent twist drill craniostomy between November 2002 and December 2005 in our clinic. When a surgical complication happened we modified our surgical technique to see if this avoided it in future patients.
FINDINGS
Surgical complications happened in 7 patients (17.9%) including inadequate drainage, brain penetration, acute epidural hematoma and catheter folding. After preventive modifications these complications did not recur.
CONCLUSIONS
Modifications in the technique of twist drill craniostomy are described in this paper which may minimise the occurrence of surgical complications.
背景
尽管用于慢性硬膜下血肿引流的麻花钻颅骨钻孔术是一种快速且微创的手术，但由于它是一种“盲目”技术，存在并发症风险。我们的目的是分析一系列接受该技术治疗的患者的并发症，以便通过改进手术技术来确定避免并发症的方法。
方法
2002年11月至2005年12月期间，我们诊所的39例慢性硬膜下血肿患者接受了麻花钻颅骨钻孔术。当发生手术并发症时，我们改进手术技术，观察这是否能避免未来患者出现此类情况。
结果
7例患者（17.9%）发生手术并发症，包括引流不充分、脑穿透、急性硬膜外血肿和导管折叠。经过预防性改进后，这些并发症未再出现。
结论
本文描述了麻花钻颅骨钻孔术技术的改进方法，这可能会使手术并发症的发生率降至最低。
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