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经皮锥颅造瘘术治疗慢性硬膜下血肿。

Percutaneous twist-drill craniostomy for the treatment of chronic subdural haematoma.

作者信息

Rychlicki F, Recchioni M A, Burchianti M, Marcolini P, Messori A, Papo I

机构信息

Neurosurgical Division, Regional Hospital, Ancona, Italy.

出版信息

Acta Neurochir (Wien). 1991;113(1-2):38-41. doi: 10.1007/BF01402112.

DOI:10.1007/BF01402112
PMID:1799141
Abstract

A consecutive series of 65 adult patients with chronic subdural haematoma was reviewed to ascertain the efficacy of twist-drill craniostomy and closed-system catheter drainage. In all patients but two the percutaneous evacuation of the haematoma alone was enough to bring about their recovery. Infections or neurological complications were never observed. Pneumocephalus was likewise absent in all patients. Therefore this technique should be recommended as the "first intention" management of the disease, particularly in elderly patients.

摘要

对连续65例慢性硬膜下血肿成年患者进行回顾性研究,以确定锥颅术和闭式系统导管引流的疗效。除2例患者外,所有患者仅通过经皮血肿清除术就足以实现康复。从未观察到感染或神经并发症。所有患者均未出现气颅。因此,该技术应被推荐为该病的“首选”治疗方法,尤其是老年患者。

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本文引用的文献

1
CONTRIBUTIONS OF ANGIOGRAPHY TO THE PATHOPHYSIOLOGY OF SUBDURAL HEMATOMAS.血管造影术对硬膜下血肿病理生理学的贡献
Neurology. 1965 Sep;15:866-73. doi: 10.1212/wnl.15.9.866.
2
Twist drill craniostomy in the treatment of chronic and subacute subdural hematomas in severely ill and elderly patients.麻花钻颅骨钻孔术治疗重症及老年患者的慢性和亚急性硬膜下血肿
Neurosurgery. 1980 Mar;6(3):233-6.
3
The course of chronic subdural hematomas after burr-hole craniostomy and closed-system drainage.钻孔开颅术及闭式引流术后慢性硬膜下血肿的病程
有症状的慢性硬膜下血肿患者在冠状缝前点进行锥颅术的适应症及手术结果
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Pneumocephalus after surgical evacuation of chronic subdural hematoma: Is it a serious complication?慢性硬膜下血肿手术清除术后的气颅:这是一种严重的并发症吗?
Asian J Neurosurg. 2012 Apr;7(2):66-74. doi: 10.4103/1793-5482.98647.
5
Outcome of contemporary surgery for chronic subdural haematoma: evidence based review.当代慢性硬膜下血肿手术的疗效:基于证据的综述。
J Neurol Neurosurg Psychiatry. 2003 Jul;74(7):937-43. doi: 10.1136/jnnp.74.7.937.
6
Pathogenetic factors in chronic subdural haematoma and causes of recurrence after drainage.慢性硬膜下血肿的发病因素及引流术后复发原因
Acta Neurochir (Wien). 1995;137(1-2):6-14. doi: 10.1007/BF02188772.
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4
Chronic subdural hematomas: a review.慢性硬膜下血肿:综述
J Neurosurg. 1981 May;54(5):637-45. doi: 10.3171/jns.1981.54.5.0637.
5
Subdural tapping and irrigation for the treatment of chronic subdural hematoma in adults.硬膜下穿刺和冲洗治疗成人慢性硬膜下血肿
Neurosurgery. 1984 May;14(5):545-8. doi: 10.1227/00006123-198405000-00003.
6
The use of the twist drill to evaluate head trauma.使用麻花钻评估头部创伤。
J Neurosurg. 1966 Oct;25(4):410-5. doi: 10.3171/jns.1966.25.4.0410.
7
Treatment of chronic subdural hematoma by twist-drill craniotomy with continuous catheter drainage.钻颅置管持续引流治疗慢性硬膜下血肿
J Neurosurg. 1986 Aug;65(2):183-7. doi: 10.3171/jns.1986.65.2.0183.
8
[Treatment of chronic subdural hematoma in the adult by tapping and lavage (Aoki's method)].[采用穿刺冲洗法(青木法)治疗成人慢性硬膜下血肿]
Neurochirurgie. 1987;33(5):429-31.
9
[Continuous, progressive, closed-circuit drainage in chronic subdural hematoma].[慢性硬膜下血肿的持续、渐进性、闭路引流]
Neurochirurgie. 1986;32(4):316-9.
10
Tissue-type plasminogen activator in the chronic subdural hematoma.慢性硬膜下血肿中的组织型纤溶酶原激活剂
Surg Neurol. 1988 Sep;30(3):175-9. doi: 10.1016/0090-3019(88)90269-8.