小骨窗开颅治疗急性硬膜外小血肿

Minor-notch Craniotomy for Acute Small Epidural Hematoma

目的 探讨小骨窗开颅手术治疗急性硬膜外小血肿的疗效。 方法 4 5例硬膜外小血肿采用小骨窗开颅血肿清除 ,负压引流治疗。以同期 30例血肿量 <30ml的硬膜外小血肿患者为对照组 ,均采用保守治疗。 结果 手术治疗组的治疗效果优于对照组 (P <0 .0 5 ) ,血肿均完全吸收 ,无并发症 ,恢复良好。 结论 小骨窗开颅治疗急性硬膜外小血肿能明显减轻症状 ,缩短病程 ,减少并发症 ,优于保守治疗 ,值得推广应用。

Objective To investigate the effect of minor-notch craniotomy for acute small epidural hematoma. Methods 45 cases of acute small epidural hematoma underment hematoma debridment and vacuum suction drainage via a minor-notch assigned to study group, 30 cases of epidura hematoma less than 30 ml in volum assigned to control group in which conservative therapy were adminstered. Results Compared with control group, the collected data showing a significantly eutherapeutic effect in study group (P<0.05), demonstrated as thoroughly absorption of hematoma, no complication and good recovery. Conclusions This recommendable method can significantly relieve the symptom, shorten the course of the disease and reduce the complication.