微创穿刺引流治疗慢性硬膜下血肿55例临床分析

Clinical analysis of intracranialpuncture and drainage in treatment of chronic subdural hematoma in 55 cases

目的探讨微创穿刺引流术治疗慢性硬膜下血肿的方法及临床效果。方法回顾性分析近3年来该院采用穿刺引流术治疗55例慢性硬膜下血肿患者的临床资料。结果全组55例微创穿刺引流手术均获成功,其中治愈49例(89.1%),复发6例(10.9%),发生并发症4例(7.3%),无死亡病例。结论微创穿刺引流术治疗慢性硬膜下血肿具有安全简便、疗效好、创伤小及并发症少等优点,值得临床应用。

[ Objective ] To explore the techniques and clinical outcome of tiny traumatic intracranialpuncture and drainage in the treatment of chronic subdural hematoma. [Methods] The clinical data of 55 cases with chronic subdural hematoma, who underwent intraeranialpuncture and drainage in our hospital in recent 3 years, were retrospectively analyzed. [Results] Intraeranialpuncture and drainage was successfully performed in all the patients. 49 of 55 cases were cured（89.1%）, recurrence occurred in 6 （10.9%）, postoperative complications in 4 （7.3%） and no mortality existed. [Conclusions] Intracranialpuneture and drainage deserve clinical application due to the advantages such as security, simpleness and convenience, nice curative effect, slight trauma and few complications.