87例慢性硬膜下血肿钻孔引流术临床治疗体会  

Clinical experience of drilling drainage in 87 cases of chronic subdural hematoma

作　　者：王启军[1] 高友好[1] 叶沛[1] 李春国[1] 

机构地区：[1]安徽医科大学附属六安医院神经外科,安徽六安237005

出　　处：《安徽医药》2017年第5期891-893,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探究慢性硬膜下血肿(CSDH)病人颅骨钻孔引流术的疗效和预后。方法对收治的87例CSDH病人临床资料进行回顾性研究,并分析应用颅骨钻孔引流手术治疗后的随访结果。结果术后87例CSDH病人临床不适症状消失或明显改善,其中83例血肿完全清除,4例血肿少量残留。随访3~6个月后,2例并发无明显症状的硬膜下积液,1例术后血肿复发。结论颅骨钻孔引流术是治疗CSDH安全可靠、疗效确切的首选方法。Objective To explore the efficiency and prognosis of skull drilling drainage in the treatment of chronic subdural hematoma （CSDH）. Methods The clinical data of 87 patients with CSDH were retrospectively analyzed. The results of follow-up after surgical treatment of skull drilling and drainage were analyzed. Results The clinical symptoms of 87 patients with CSDH disappeared or im-proved significantly. Among them,83 cases were completely removed and 4 cases had small residual hematoma. Followed up for 3 to 6 months,2 patients had no obvious symptoms of subdural effusion, 1 case of recurrence of postoperative hematoma. Conclusion The clinical effect of drilling and drainage in the treatment of CSDH is the clearly preferred surgical method.

关 键 词：慢性硬膜下血肿 钻孔引流术 治疗 预后 

分 类 号：R651.1[医药卫生—外科学]