无头架硬通道置入治疗慢性硬膜下血肿  

Framless Localization Implanting Hard Passage(IHP)in Treatment of the Chronic Subdural Hematomas(CSDH)

作　　者：赵奇煌[1] 李锦平[1] 宋英伦[1] 吴卫[1] 

机构地区：[1]北京朝阳医院神经外科,北京100020

出　　处：《中国医药导刊》2002年第1期13-14,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨慢性硬膜下血肿置入硬通道冲洗,引流的疗效。方法:采用CT定位无头架技术向血肿腔内置入硬通道缓慢、反复冲洗,引流的方法对194例慢性硬膜下血肿患者行治疗前后对比。结果:无头架定位置入硬通道治疗慢性硬膜下血肿创伤小,局部麻醉方便,总有效率99％,并发症如再出血、脑挫伤、脑内小血肿发生率14.95％。结论:无头架定位置入硬通道可作为治疗慢性硬膜下血肿的首选方法之一。Objective: To investigate The Therapeutic effectiveness of the chronic subdural Hematomas with implanting hard passage, irrigating and drainage. Methods: Adopted CT framless localization techniqne, implanting the hard passage into the cavitas of the chronic subdural Hematomas, slowly, repetitious irrigating and drainage in treatment of the 194 case of the CSDH. and contrasting the per - and post - operating. Result: This technique treating of the CSDH is of the characteristics of the minimum invasive, local infiltration anesthesia, sample, total therapeutic effectiveness was99% , The complications were 14.95% , Secondary intracranial Hematomas, microhamotoma in contex and pneumocephalus. Condusion: The first choice method of the framless localization in planting hard passage has been taken account of using it to treat of the chronic subdural Hematomas.

关 键 词：慢性硬膜下血肿 CT 无头架定位技术 硬通道置入术 治疗 

分 类 号：R651.1[医药卫生—外科学]