外伤性硬膜下积液57例治疗体会

Analysis of 57 cases of traumatic subdural hygroma

目的：探讨外伤性硬膜下积液的治疗经验。方法：对57例外伤性硬膜下积液患者的临床资料进行回顾性分析。结果：随访1～3年，总有效率94．79%,3例死亡。结论：在外伤性硬膜下积液治疗中，应采取综合治疗方法。对于慢性、复发的外伤性硬膜下积液行开颅积液包膜剥脱，蛛网膜撕口使积液腔与蛛网膜下腔充分相交通，是较理想的治疗方法。

Objective：To review the treatment of 57 cases with traumatic subdural hygroma. Methods： Clinical materials of 31 patients with traumatic subdural hygroma were retrospectively analyzed. Results：All of them were followed-up for 1-3 years. The total effective rate was 94.7%, 3 patients died. Conclusion： In treatment of patients with traumatic subdural hygroma , combined therapy should be applicated. Opening skull, stripping amicula of traumatic subdural hygroma and making hydrops communication with subarachnoid space by tearing arachnoid is an effective approach for chronic and palindromic traumatic subdural hygroma.