无头架硬通道置入技术治疗重型创伤性硬膜外血肿中的应用价值  

Frameless Implanting Hard Passage Technique in Treatment of the Severe Traumatic Epidural Hematomas

作　　者：赵奇煌[1] 李涛[1] 宋仁兴[1] 杨新乾[1] 

机构地区：[1]首都医科大学附属北京朝阳医院神经外科,北京100020

出　　处：《中国医药导刊》2006年第6期410-411,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨早期无头架硬通道置入技术在重型创伤性硬膜外血肿中的应用价值。方法:治疗组158例重型创伤性硬膜外血肿患者确诊后,在床边快速应用无头架硬通道置入技术加常规清除血肿、去骨瓣减压术,对照组104例重型创伤性硬膜外血肿患者确诊后,行常规清除血肿、去骨瓣减压术。结果:治疗组患者预后明显优于对照组(P＜0．05),治疗组患者颅内压下降速度和程度优于对照组(P＜0．05)。结论:早期无头架硬通道置入技术具有刨伤小、操作简便、快速的特点,能够改善创伤性硬膜外血肿患者预后。Objective： To evaluate the clinical application of frameless implanting hard passage technique to treat severe acute epidural hematoma.Methods： 158 patients with severe traumatic epidural hematoma were treated with frameless implanting hard passage technique and 104 patients with severe traumatic epidural hematoma were treated with routine craniectomy. Results： Frameless implanting hard passage technique group significantly improved the prognosis（P 〈 0.05） . Intracranial pressure decreased faster and better than those of routine craniectomy group（P 〈 0.05） . Conclusion： According to our experience, first aid treatment of severe epidural hematoma using frameless implanting hard passage technique was a simple, safe, minimally invasive technique, and could improve the prognosis of the patients.

关 键 词：硬通道 创伤性硬膜外血肿 外科治疗 

分 类 号：R651.15[医药卫生—外科学]