微创穿刺外引流术治疗慢性硬膜下血肿

Minimally invasive puncture drainage in the treatment of chronic subdural hematoma

摘要:

目的 探讨微创穿刺外引流术治疗慢性硬膜下血肿的疗效及注意事项。方法 回顾分析自2008，8~2012，7共采用微创穿刺外引流术治疗慢性硬膜下血肿35例，并对出院患者进行随访，总结治疗效果。结果 35例患者均一次性穿刺成功，未出现严重并发症，所有患者症状均明显改善，出院前27例血肿腔消失，占77%，8例存在少量硬膜下积液，占23%。出院定期复查头颅CT，随访未见复发病例。结论 微创穿刺外引流术治疗慢性硬膜下血肿较单孔钻孔冲洗+闭式引流术操作简单，并发症少，患者恢复快，适用面广。

Abstract:

Objective To study the therapeutic efficacy and other considerations used minimally invasive puncture drainage to treat chronic subdural hematoma.Methods From August 2008 to July 2012 total 35 chronic subdural hematoma patients were treated with minimally invasive puncture drainage, followed up the discharged patients and summarizes the treatment effect.Results 35 patients were succeed puncture at one time without serious complications, symptoms were significantly improved, 27 cases cavity disappeared before discharge hematoma (77%), 8 cases have small subdural effusion (23%). Periodic review of discharge head CT, without recurrence cases.Conclusions The minimally invasive puncture drainage in the treatment of chronic subdural hematoma is simple operation, less complications, patients recover quickly, widely applicable.