微创置管联合三通引流治疗慢性硬膜下血肿

Minimally invasive drainage tube placement and tee-junctions irrigation for chronic subdural hematoma

目的探讨微创置管联合三通引流治疗慢性硬膜下血肿的可行性。方法局麻下自制套管针或骨锥等器械颅骨穿刺置管,联合三通密闭冲洗引流31例慢性硬膜下血肿。结果全组病人均痊愈,无颅内积气发生。随访3～6个月,无复发。结论微创置管联合三通治疗慢性硬膜下血肿可行,既能充分清除血肿,又从根本上避免了颅内积气的发生。

Objective To discuss the feasibility of minimally invasive drainage tube placement and tee-junctions irrigation for the treatment of chronic subdural hematoma. Methods Transcranial drainage and closed tee-junctions irrigation was carried out under local anesthesia in 31 cases of chronic subdural hematoma by using self-made trocar and osteotome. Results All the patients had been completely freed of the disease, without pneumocephalus. Follow-up for 3～6 months revealed no recurrence. Conclusions Minimally invasive tube placement and tee-junctions irrigation for chronic subdural hematoma is feasible. It not only clears away the lesions thoroughly, but also prevents the pneumocephalus effectively.