持续腰大池引流在外伤性硬膜下积液治疗中的运用  

Continuous lumbar cerebrospinal fluid drainage for traumatic subdural hydroma

作　　者：刘科峰[1] 龚坚[1] 黄武[1] 

机构地区：[1]南京医科大学附属常州第二医院神经外科,常州213001

出　　处：《临床神经外科杂志》2009年第2期91-92,共2页Journal of Clinical Neurosurgery

摘　　要：目的探讨外伤性硬膜下积液的治疗措施。方法回顾分析35例进展型外伤性硬膜下积液病例:对照组采用钻孔引流术,持续引流5-6天后拔除引流管;处理组采用持续腰大池引流,持续引流7-12天后拔管。头颅CT评价治疗效果。结果16例采取钻孔引流术的对照组治愈率为31.25%,19例采取持续腰大池引流的处理组治愈率为78.95%。两组治愈率有统计学意义(精确概率法计算P=0.007)。结论持续腰大池引流是治疗进展型外伤性硬膜下积液一有效方法。Objective To explore the therapy of traumatic subdural hydroma （TSH）. Method 35 cases of the progressive type of TSH were analysed retrospectively. The control group was treated by burr hole drainage, which would be drained continuously for 5-6 days before removal of drainage tube . The trial group was treated by continuous lumbar cerebrospinal fluid drainage , which would be drained continuously for 7-12 days before removal of drainage tube. The effectiveness of treatment was evaluated by CT scan. Result The curative rate of the control group（16 cases） was 31.25%, the handling group（ 19 cases） was 78.95%. There was significant difference between two groups （ calculated by Fisher＇ s Exact Test, P = 0. 007 ）. Conclusion Continuous lumbar cerebrospinal fluid drainage is effective for progressive type of TSH .

关 键 词：腰大池引流 钻孔引流术 外伤性硬膜下积液 颅脑损伤 

分 类 号：R651.11[医药卫生—外科学]