高龄老年人慢性硬膜下血肿的微创手术治疗  

Minimally invasive surgical drainage in the treatment of chronic subdural hematoma about eld

作　　者：林重辉[1] 黄雪钦[1] 徐声亮[1] 林良山[1] 黎永胜[1] 

机构地区：[1]汕头大学医学院第一附属医院神经外科,广东汕头515041

出　　处：《中国当代医药》2011年第20期19-20,共2页China Modern Medicine

摘　　要：目的:总结YL-1型穿刺针微创治疗高龄患者慢性硬膜下血肿(CSDH)的效果。方法:2007年1月～2010年8月收治的年龄大于75岁的CSDH患者57例,根据头颅CT采用局麻下血肿腔微创置入YL-1型穿刺针引流,并分次注入尿激酶溶解引流血肿液。并对出院患者进行随访,总结治疗效果。结果:57例患者均采用微创穿刺术治疗,术后症状即改善,定期复查未见不良反应。结论:运用YL-1型穿刺针微创治疗高龄患者CSDH,均取得较好的治疗效果。Objective：To summarize the effect of minimally invasive surgical drainage using a one-time YL-1 type of intracranial Hematoma puncture needle crushing and uokinase technology in the treatment of chronic subdural hematoma about eld.Methods：Total 57 patients of chronic subdural hematom who were above 75 years admited from January 2007 to August 2010,according to head CT scan results,were inserted one-time YL-1 type of intracranial hematoma puncture needle into hematom a cavity under local anesthesia.The hematoma were dissolved and drainage after injection of urokinase into hematoma by YL-1 puncture needle.Patients were followed-up and therapeutic efficacy was summed up after treatment.Results：For the all cases who were treated with minimally invasive surgical drainage,all patients had achieved satisfactory therapeutic effects and no adverse reaction in the periodic inspection.Conclusion：Drainage using minim ally invasive surgery（one-time use of YL-1 type of intracranial hematoma puncture needle grinding and urokinase technology） can achieve a more better therapeutic effect in the treatment of chronic subdural hematoma about the eld.

关 键 词：高龄 慢性硬膜下腔血肿 微创穿刺 尿激酶 

分 类 号：R74[医药卫生—神经病学与精神病学]