微创软通道技术治疗急性硬膜外血肿95例分析  

Minimally invasive soft-tunnel technique for treatment of acute extradural hematoma

作　　者：冀志武[1] 邵连彬[1] 朱庆华[1] 王红斌[1] 李和平[1] 马东周[1] 

机构地区：[1]河北工程大学附属医院神经外科,邯郸056002

出　　处：《陕西医学杂志》2010年第5期590-591,601,共3页Shaanxi Medical Journal

摘　　要：目的:探讨软通道微创技术治疗急性硬膜外血肿的适应证及疗效。方法:采用微创软通道引流技术治疗急性硬膜外血肿95例。结果:微创术后3d复查CT,血肿基本或完全消失92例,3例血肿无变化。全组术后住院6～12d,出院时日常生活能力(ADL)分级:级81例,级14例。83例术后随访3～6个月,按GOS分级全部级恢复良好。无颅内感染发生。术前3例癫痫发作者未再发生,全组无晚发癫痫病例。结论:微创软通道技术治疗急性硬膜外血肿操作简便,安全,疗效可靠。Objective：To explore the indication and curative effect of minimally invasive soft-tunnel technique in the treatment of acute extradural hematoma.Methods：95 cases of acute epidural hematoma,who were treated by minimally invasive technique of soft-channel drainage,were analyzed retrospectively.Results：Hematoma of 92 cases disappeared basically or completely according to the reexamining CT after three days,hematoma of 3 cases unchanged.All patients hospitalized from 6 to 12 days after operation.According to the activities of daily living（ADL）classification,there were 81 cases of grade Ⅰand 14 cases of grade Ⅱ.Postoperative follow-up evaluations with the Glasgow outcome scale（GOS）scores for 3 to 6 months in the 83 cases showed good recovery in all cases as grade V.No intracranial infection occurred.Preoperative three cases of epilepsy did not happen again,There were no cases of late-onset epilepsy.Conclusions：Minimally invasive soft-tunnel technique in the treatment of acute extradural hematoma is simple,safe,effective.

关 键 词：血肿 硬膜外/外科学 外科手术 最小侵入性 

分 类 号：R651.1[医药卫生—外科学]