额颞部硬膜外血肿微创锥颅手术治疗36例临床分析  

Analysis of minimally invasive operation in the treatment of 36 cases of frontotemporal epidural hematoma

作　　者：吴贵平[1] 曾鹏[1] 钟俊贤[1] 沙龙金[1] 曾文胜[1] 王广斌[1] 许宁[1] 

机构地区：[1]中山大学附属东华医院,东莞523110

出　　处：《中国实用神经疾病杂志》2013年第4期21-23,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析额颞部硬膜外血肿微创手术治疗的效果。方法对我院2006-06—2011-06收治的36例额颞部硬膜外血肿患者资料进行回顾性分析,所有患者均采用微创锥颅手术治疗,均随访3～6个月,对治疗效果及可性行进行分析。结果本组36例患者除1例因血肿量增加行开颅手术外,其余35例患者均在3～5d后顺利拔管,CT复查显示,31例血肿完全清除,完全清除率86.11%;4例患者残存少量血肿(血肿量<10mL),中线结构复位,脑室受压解除,所有患者均随访3～6个月,均恢复良好,无出血复发。结论额颞部硬膜外血肿采取微创锥颅手术治疗既能达到清除血肿目的,又能减少创伤、防止骨瓣去除及疤痕形成影响美观。Objective To summary of the effect of minimally in-vasive operation in the treatment of frontotemporal epidural hematoma. Methods Totally 36 cases of frontotemporal epidural hematoma patients in our hospital from June 2006 to June 2011 were retrospectively analyzed. All patients were treated with minimally invasive stereotaxie operation treatment, and were followed up for 3-6 months, the therapeutic efficacy and feasibility were analyzed. Results Except one case due to hematoma volume increased line of craniotomy operation, the remaining 35 patients in 3-5 days after successful extubation, CT showed that, 31 cases of complete evacuation of hematoma, ＇complete clearance rate was 86.11% ; 4 patients surviving a hematoma （he-matoma volumed〈 10 mL）, midline structure reset, ventricular compression lift, all patients were followed up for 3 - 6 months, and recovered well without recurrence of bleeding. Conclusion Frontotemporal epidural hematoma by minimally invasive ster-eotaxic operation therapy can achieve the removal of hematoma, but also can reduce the trauma, prevent bone flap removal and scar formation aesthetic impact.

关 键 词：额颞部硬膜外血肿 微创锥颅手术 

分 类 号：R651.15[医药卫生—外科学]