外伤性静脉窦骑跨型硬膜外血肿的诊疗分析  

The analysis of diagnosis and treatment of traumatic sinus straddling epidural hematoma

作　　者：岑武[1] 廖昆[2] 熊兵[1] 魏宜功[1] 刘窗溪[3] 

机构地区：[1]遵义医学院研究生院,遵义市563000 [2]贵州省兴义市人民医院神经外科 [3]贵州省人民医院神经外科

出　　处：《立体定向和功能性神经外科杂志》2015年第1期26-29,共4页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的探讨外伤性静脉窦骑跨型硬膜外血肿不同治疗方法的疗效。方法回顾性分析2009年1月~2014年10月我院收治的64例外伤性静脉窦骑跨型硬膜外血肿患者的临床资料,比较采用保守治疗、窦旁骨瓣开窗开颅血肿清除术、跨窦骨瓣成形开颅血肿清除术治疗后各组患者恢复情况,出院后3个月随访GOS评分。结果 16例保守治疗组患者恢复14例（75%）,15例窦旁骨瓣开窗开颅血肿清除术治疗组患者恢复13例（86.7%）,跨窦骨瓣成形开颅血肿清除术治疗组患者恢复35例（97.2%）。出院后随访3个月,根据GOS评分显示均获满意疗效。结论入院早期诊断,及时手术,根据患者的具体情况采用适合的治疗方式是提高该病的治疗效果的关键,可显著提高疗效,降低病死率。Objective To explore the therapeutic effect of traumatic sinus straddling epidural hematoma in different treatment methods. Methods A retrospective analysis of January 2009 -- October 2014 in our hospital 64 cases of traumatic sinus straddle type of epidural hemato- ma in patients with clinical data, comparison of conservative treatment, sinus bone window crani- otomy,cross sinus bone forming hematoma evacuation of patients in each group after treatment recovery. In addition,3 months after hospital discharge follow--up GOS score. Results 16 cases of conservative treatment group were recovered in 14 cases（75%）, 15cases of sinus bone flap win- dow craniotomy evacuation of hematoma patients in the treatment group were recovered in 13 ca- ses （86.7 %）, cross sinus bone flapcraniotomy evacuation of hematoma patients in the treatment group 35 cases recovered （97.2%）. 3-month follow--up after discharge, were satisfactory ac- cording to GOS score display. Conclusion Admission for early diagnosis and timely surgery, de- pending on the patient＇s use of appropriate treatment is the key to treatment of the disease increa ses,can significantly improve the efficacy and reduce mortality.

关 键 词：外伤性 静脉窦 骑跨型硬膜外血肿 诊疗分析 

分 类 号：R651.15[医药卫生—外科学]