慢性硬膜下血肿影像学多形性表现及临床诊治  

Imaging Features and Clinical Diagnosis and Treatment of Chronic Subdural Haematoma

作　　者：胡琳[1] 姚源[2] 谢明国[1] 李莉[1] HU Lin;YAO Yuan;XIE Ming-guo;LI Li(Department of Radiology1.Department of Neurosurgery;Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,Siehuan,China)

机构地区：[1]成都中医药大学附属医院放射科,四川成都610072 [2]成都中医药大学附属医院神经外科,四川成都610072

出　　处：《医学信息》2018年第14期167-168,171,共3页Journal of Medical Information

摘　　要：目的探讨慢性硬膜下血肿的临床特征、多形性影像学表现与手术结果。方法对2014年1月~2017年12月我院收治的经过头部CT扫描证实的CSDH共78例,对患者的临床特征、影像学表现及手术结果进行分析。结果经手术治疗治愈73例(93.59%),术后血肿量减少,中线结构复位明显,术后1月后复发5例(6.41%)。结论钻孔引流术治疗慢性硬膜下血肿安全、简单、疗效满意,CT扫描及CT增强扫描和MRI检查综合术前评估采用不同术式能提高手术质量。Objective To investigate the clinical features, pleomorphic imaging findings and surgical results of chronic subdural haematoma.Methods From January 2014 to December 2017,78 cases of CSDH confirmed by CT scan of head were treated in our hospital.The clinical features,imaging findings and surgical results were analyzed. Results 73 cases（93.59%）were cured by operation,the amount of haematoma decreased,the midline structure is obviously reset and 5 cases（6.41%）recurred one month after operation.Conclusion Drilling and drainage in the treatment of chronic subdural haematoma is safe and simple,and the curative effect is satisfactory.CT scan,CT enhanced scan and MRI combined with preoperative evaluation can improve the operation quality.

关 键 词：慢性硬膜下血肿 影像学表现 钻孔引流术 

分 类 号：R651.15[医药卫生—外科学]