Eggert H R, Harders A, Weigel K, Gilsbach J
Neurochirurgia (Stuttg). 1984 Sep;27(5):141-3. doi: 10.1055/s-2008-1054121.
In a consecutive series of 100 patients suffering from Chronic subdural haematomas, which were treated by burr-hole evacuation and closed external drainage, in 23 patients repeated operations became necessary. The reasons for further operations were: true recurrences in 11 cases, superimposed haematomas in five cases and haematomas on the opposite side in seven cases. All these patients were treated again by burr-hole evacuation and closed external drainage. In contrast to the common opinion craniotomy and removal of the membranes was not necessary in any case.
在连续的100例慢性硬膜下血肿患者中,采用钻孔引流和闭式外引流进行治疗,其中23例患者需要再次手术。再次手术的原因如下:11例为真性复发,5例为血肿叠加,7例为对侧血肿。所有这些患者均再次采用钻孔引流和闭式外引流进行治疗。与普遍观点相反,在任何情况下均无需进行开颅手术和切除包膜。