慢性硬膜下血肿减少严重并发症的手术技术要点探讨  

Exploration of critical technical points for chronic subdural hematoma

作　　者：马力[1] 崔洁[2] 

机构地区：[1]安徽池州市人民医院神经外科,池州247000 [2]三峡大学第三临床医学院(葛洲坝中心医院),宜昌443002

出　　处：《中国实用神经疾病杂志》2009年第14期10-12,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨慢性硬膜下血肿(CSDH)的手术技巧,防止并发症,提高手术疗效。方法对1998—2008年187例接受单钻孔引流术的CSDH手术方式的选择、手术操作中各步骤的技术要点以及病人的处理进行归纳总结,并应用于手术实践。结果随着手术技巧的提高,病人术后并发症明显减少(由23.2%降至5.7%)。结论单钻孔引流术是治疗CSDH安全、有效的手术方式,掌握手术技术要点,提高手术技巧可使并发症明显降低。Objective To explore the critical technical problem of chronic subdural hematoma, prevent and reduce occurrence of surgery illness complication and increase the operative treatment effect. Methods From 1998 to 2008, 187 patients with chronic subdural hematoma （CSDH） received a single burr-hole irrigation and drainage （BHID）. Technique points of BHID, operation pattern and management of patients were summarized,and were used in practice. Results With the increase of surgical skills, the complications of BHID had been reduced from 23.2 % to 5.70% （p〈0.01）. Conclusion A single burr-hole irrigation and drainage is a safe, effective operation mode in the treatment of CSDH. The complications can be significantly reduced by mastering surgical technique points and improving operation skills.

关 键 词：慢性硬膜下血肿 单钻孔引流术 并发症 手术技巧 

分 类 号：R651.15[医药卫生—外科学]