微创钻孔“T”型管负压引流治疗亚急性硬膜外血肿  

Negative pressure drainage with T shape tube through minimal invasive drilling treating subacute epidural hematoma

作　　者：王树军[1] 李守仁[1] 李春生[1] 杨桂云[1] 

机构地区：[1]辉南县中医院神经外科,吉林辉南135100

出　　处：《吉林医学》2008年第21期1847-1848,共2页Jilin Medical Journal

摘　　要：目的：采用简洁、创伤小的手术方法治疗亚急性硬膜外血肿。方法：局麻下头皮直切口约3～4 cm,钻骨孔直径约1.5 cm,用吸引器清除部分血肿放置18号“T”型引流管,并用2万U位尿激酶注入后以负压为1kPa的一次性负压吸引器引流。结果：额部血肿10例,额颞部血肿9例,顶部血肿6例,顶枕部3例,全部治愈。结论：此手术方法简单,侵袭性小,使用安全。适用于亚急性硬膜外血肿的治疗。Objective To treat subaeute epidural hematoma with minimal invasive operation. Method The procedures of the operation：①3 -4cm straight incision of scalp with local anesthesia; ②sucking partial epidural hematoma through twistdrill craniostomy; ③ injecting urokinase （20 thousand U ） into epidural hematoma and draining through T shape tube. Results Twenty - eight patients all cured, including 10 cases with frontal epidural hematoma, 9 with frontotemoral epidural hematoma, 6 with parietal epidural hematoma, and 3 with parietoccipital epidural hematoma. Conclusion The operation is simple, safe and minimal invasive. It can be applied to subaeute epidural hematoma.

关 键 词：微创手术 亚急性硬膜外血肿 “T”型管 

分 类 号：R651.15[医药卫生—外科学] R561[医药卫生—临床医学]