微创钻孔引流术治疗慢性硬膜下血肿  

Treatment of chronic subdural hematoma by minimally invasive drilling and drainage

作　　者：张晶[1] 刘藏[1] 侯瑞光[1] 

机构地区：[1]首都医科大学附属北京友谊医院神经外科,100050

出　　处：《中华医学杂志》2012年第3期203-205,共3页National Medical Journal of China

摘　　要：目的探讨微创钻孔引流术治疗慢性硬膜下血肿。方法回顾分析首都医科大学附属北京友谊医院神经外科2003年5月至2011年8月住院接受治疗的118例慢性硬膜下血肿的患者的临床资料及随访结果。118例患者全部采用微创钻孔引流术。结果治愈101例（85．6％），好转17例（14．4％），6例（5．08％）复发，其中5例术后1-2个月复发，1例术后77个月复发。3例死亡（均非手术直接造成），1例死于心衰；1例死于肝硬化、肾衰；1例死于心源性猝死。6例复发病例再次行微创钻孔引流术，治愈。85例患者进行了随访（门诊及影像学复查），时间为术后1-80个月，包括6例复发的患者，未见血肿复发或再次复发。结论微创钻孔引流术治疗慢性硬膜下血肿安全、简单，效果好。Objective To discuss the treatment of chronic subdural hematoma by minimally invasive drilling and drainage. Methods The clinical data were collected and analyzed for 118 cases with chronic subdural hematoma at our hospital from May 2003 to August 2011. They underwent minimally invasive drilling and drainage. Results A total of 101 cases （ 85.6% ） were cured and 17 cases （ 14. 4% ） improved. Hematoma recurred in 6 cases （5.08%）. Among them, 5 cases recurred at Months 1 - 2 and 1 case at Month 77 post-operation. Three cases died. The causes included heart failure （ n = 1 ）, cirrhosis and renal failure （ n = 1 ） and sudden cardiac death （ n = 1 ）. Six recurrent cases were cured by minimally invasive drilling and drainage. And 85 cases received a follow-up period of 1 -80 months. No further recurrence was found for 6 recurrent cases. Conclusion The treatment of chronic subdural hematoma by minimally invasive drilling and drainage is safe, simple and efficacious.

关 键 词：慢性硬膜下血肿 微创钻孔引流术 

分 类 号：R651.1[医药卫生—外科学]