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探讨不同手术方式对于慢性硬膜下血肿术后复发的影响 被引量:7

Approach to influence of recurrence of various surgical treatments of Chronic Subdural Hematoma
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摘要 目的探讨不同手术方式对于CSDH患者术后血肿复发的影响。方法回顾性分析142例CSDH患者的临床及神经影像学特征、手术方式及术后复发的关系。结果142例患者均采用手术治疗,术后13例复发中,2例术前服用阿司匹林类药物。术前CT表现为高密度或混杂密度20例,表现为等密度46例,表现为低密度76例;双侧血肿14例;锥钻引流术38例,钻孔引流术90例。结论锥钻引流术与钻孔引流术都是治疗慢性硬膜下血肿的有效方法,两者术后复发率无明显差异(0.50>P>0.25);开颅血肿清除术后复发率最低。 [ Objective] To investigate the influence of hematoma recurrence of various surgical treatments of Chronic Subdural Hematoma. [Methods] The clinical features, radiological findings, operative techniques and recurrence of 142 patients with CSDH were analysized retrospectively. [Results] All the patients (142) were initially treated by surgery, 13 out of 142 patients recurred, of 13 patients, 2 cases had a usage of aspirin in these 13 recurred patients; with the brain computerized tomography (CT) preoperatively, 20 were in high-density or mixed-density type, 46 were in isodense type, 76 were in low-density type and 14 had bilateral-CSDH; 38 were treated by twist-driU drainage and 90 were treated by burr-hole drainage. [Conclusion] Twist-drill drainage and burr-hole drainage are both effective treatment of CSDH and there is no statistical significance difference in the recurrence of CSDH between them (0.50〉P 〉0.25); Craniotomy has the lowest recurrence.
作者 龙洪 兰松
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2007年第10期1244-1246,共3页 China Journal of Modern Medicine
关键词 慢性硬膜下血肿 外科手术 治疗 复发 Chronic Subdural Hematoma surgery therapy recurrence
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参考文献5

  • 1PITTOCK SJ,MORONEY JT,ALEXANDER M,et al.Various surgical treatments of chronic subdural hematoma and outcome in 172 patients[J].Surg Neurol,2004,61(6):523-527.
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  • 3尹畅,阳楚雄,胡守兴.慢性硬膜下血肿93例临床分析[J].中国现代医学杂志,2000,10(3):36-37. 被引量:8
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