钻颅注氧置换治疗慢性硬膜下血肿

Replacement of Hematoma with Oxygen via Percutaneous Subdu-ral Tapping in Treatment of Chronic Subdural Hematoma

目的 观察钻颅注氧置换治疗慢性硬膜下血肿的临床疗效。方法 30例患者局麻后,用颅锥穿颅骨内板,穿刺置入双腔管,先用生理盐水进行血肿冲洗,再注入氧气(每次20ml),使血肿腔内残留液体流出,如此反复操作,直至无液体换出为止。结果 术后1周内全部病例的临床症状全部或绝大部分消失。术后2个月后CT复查结果全部病例血气体均基本吸收,无1例复发。随访半年,无1例复发及并发症发生。结论 钻颅注氧置换治疗慢性硬膜下血肿是一种操作简便、创伤小、安全可靠、疗效显著确切、适应症宽、所需器械少、易于推广的术式。

objective To observe the clinic effect of replacement of hematoma with oxygen viapercutaneous subdural tapping in treatment of chronic subdural hematoma. Methords By single micro-burr-hole via percutaneous subdural hematoma cavity tapping,a double lumen tube was inserted into thehematoma cavity and irrigation the hematoma with normal saline was conducted,then oxygen was poured intothe hematoma cavity. After the hematoma cavity was replaced by oxygen and no outflow of fluid the tubewas drawn from the cavity. Results Thirty cases were treated with this way. All patient’s symptomare almost desapered in a week of postoperation. No rebleeding and complication were taken place throughhalfyear followup. Conclusion The effect of replacement of hematoma with oxygen via percutaneoussubdural tapping in treatment of chronic subdural hematoma is security and validity with short time ofoperation hospitalization and little complication