用颅内血肿微创穿刺针治疗慢性、亚急性血肿疗效分析

Analysis of Treatment on Chronic and Subacute Encephalic Hematoma with Minimally Traumatic Puncture Needle

目的:回顾性研究用微创针治疗慢性硬膜下血肿的手术方法。方法:用微创针取双额部无大血管区向外上斜行,脑表面切线进针治疗慢性、亚急性血肿。结果:本组病例22例,18例血肿全部清除,4例基本清除,全部患者术后颅内高压及偏瘫、失语、意识障碍迅速好转,1例在1mo后复发,行钻孔引流后治愈,无并发症。结论:本治疗方法创伤小,在局麻下进行,引流通畅,出血风险小,并可避免脑损伤。

Objective： Retrospective analysis of an operation method of chronic encephalic hematoma with minimally traumatic pun ture needle. Methods： The needle penetrate into encephalic without big vases and outward uptilt, and then the needle enters the hematoma parallel to cerebric surface. Results： 22 cases are treated. The hematoma are eliminated absolutely on 18 cases of them, 4 cases are eliminated basically. The symptoms such as increased intraeranial pressure, hemiplegia,logagnosia and unconsciousness are get well rapidly after operation. 1 case recrudesced after a month of the treatment but was cured with drainage and without any complication. Conclusions： The technology of minimally traumatic puncture needle has many strongpoints, for example, wound and bleeding are little, drainage is normal, brain damage can avoid and the operation with local anaesthesia only.