改良钻孔引流术治疗慢性硬膜下血肿的疗效观察  

Curative effects about improved bore-drainage treatment in chronic subdural hematoma

作　　者：舒志强[1] 任祖东[1] 李明[1] 戴荣权[1] 吕文革[1] 朱庆宝[1] 

机构地区：[1]马鞍山市人民医院神经外科,安徽马鞍山243000

出　　处：《东南大学学报（医学版）》2013年第4期446-448,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的:探讨改良钻孔引流术治疗慢性硬膜下血肿(CSDH)的临床疗效。方法:患者共36例,男27例,女9例,在传统钻孔引流术的基础上扩大骨孔至2.5 cm,悬吊硬膜,引流管置于骨孔处,不缝合颞肌,利用颅内压和大气压用生理盐水将颅内积气置换出来。结果:36例中治愈29例,好转7例,总有效率100%。改良钻孔引流术治疗CSDH能有效减少血肿残留复发、颅内积气、癫痫等术后并发症。结论:改良钻孔引流术治疗CSDH具有操作简单、创伤小、引流完全等优点,可减少术后相应并发症,有利于患者预后。Objective： To explore the clinical curative effects about improved bore-drainage treatment in chronic subdurat hematoma（CSDH）. Methods： Select 36 patients with CSDH,including 27 males and 9 females, on the basis of the traditional bore-drainage treatment, make the skull hole expanded to 2.5 cm, hang dural, place the tube above the hole, not suture temporalis, replace gas from cranial cavity with 0. 9% Nacl while utilize the difference between the intracranial pressure and the atmospheric pressure. Results： 29 patients were cured and 7 patients were improved. Total effective rate was 100%. Improved bore-drainage treatment can effectively reduce the hematoma＇s residual and recurrence, epilepsy, gas, etc. Conclusion： Improved bore-drainage treatment is

关 键 词：慢性硬膜下血肿 改良钻孔引流术 疗效 

分 类 号：R651.15[医药卫生—外科学]