YL-1型针穿刺治疗亚急性、慢性硬膜下血肿136例临床分析

Clinical analysis of intracranial puncture with YL-1 puncture needle for 136 cases of subacute and chronic subdural hematoma

目的探讨YL-1型针穿刺治疗亚急性、慢性硬膜下血肿的治疗效果、并发症发生的原因及其防治措施。方法回顾性分析136例经YL-1型针穿刺治疗的亚急性、慢性硬膜下血肿患者的临床资料。结果术后血肿复发2例，余均一次治愈．2例血肿复发病例经再次穿刺治疗后治愈。并发不同程度气颅71例。穿刺点延迟愈合或感染2例．术中突发癫痫1例．经对症治疗后痊愈。结论YL-1型针穿刺治疗亚急性、慢性硬膜下血肿疗效可靠．与传统全麻下钻孔冲洗引流术疗效相当，但操作简单，创伤小，费用低，术中采取有效措施可以明显减少或杜绝并发症发生。

Objective To explore the clinical effect, complications and their preventive measures of intracranial puncture with YL-1 puncture needle in the treatment of subacute and chronic subdural hematoma. Methods The clinical data of 136 cases with subacute and chronic subdural hematoma were analyzed retrospectively. Results Hematoma reoccurred in 2 cases, both of which were cured, by the secondary puncture; however, the remaining patients were cured at the initial treatment. 71 cases suffered from different degrees of postoperative pneumocephalus, 1 was attacked by epilepsy during the operation, and 2 contracted infection or delayed healing at the puncture point. Conclusion The curative effect of treating subacute and chronic subdural hematoma with YL-1 puncture needle is satisfactory, equal to traditional burr-hole craniotomy and drainage. Intracranial puncture with the YL-1 needle is a simple procedure, economical and minimally invasive; also, and it can greatly decrease or avoid complications by taking effective measures during operation.