应用Subdural专用引流管治疗慢性硬膜下血肿

Subdural catheter on chronic subdural hematoma

目的比较钻孔闭式引流和Subdural专用引流管穿刺引流在慢性硬膜下血肿(CSDH)中的疗效。方法回顾分析我院收治的88例CSDH患者,46例行钻孔闭式引流(A组),42例行Subdural专用引流管穿刺引流术(B组),比较两组治疗效果。结果A组40例一次钻孔引流成功,6例因继发颅内血肿而改行开颅手术,再手术率13.04%,癫发作3例;B组41例一次性引流成功,1例因继发血肿再次手术,再手术率2.38%,无癫发作。结论Subdural引流术较钻孔冲洗闭式引流术更微创、更安全有效,并发症少,宜作为治疗CSDH的首选方法。

Objective To compare the therapeutic effects and recurrences of burr-hole craniotomy with closed drainage and drainage with subdural catheter in treating chronic subdural hematoma （CSDH）. Methods A retrospective study was carried out among 88 CSDH patients,46 as group A treated with braT-hole craniotomy by closed-system drainage and 42 as group B drainaged with subdural catheter. Recurrence rate and complications were compared between two groups. Results In group A,40 cases were cured by braT-hole craniotomy,6 cases were operated with conventional craniotomy. The reoperation rate was 13.04% , epilepsy in 3 cases;In group B,41 cases were cured by drainage with subdural catheter, 1 case was reoperated because of secondary hematoma, reoperation rate was 2.38%. Conclusions There were less damage and lower occurrence of complication in group B with subdural catheter,that as a preferred method for CSDH treatment.