环钻开颅在额部颅内血肿微创手术中的应用

Application of intracranial hematoma microneurosurgery by trephine-openning skull

目的总结运用环钻在颅内血肿微创手术中应用与效果。方法本组选择45例额部颅内血肿患者,血肿量在30～50ml。42例有头部外伤史后的外伤性,3例为自发性血肿。根据CT模拟定位,采用环钻微创手术清除血肿。结果应用环钻微创手术治疗明显缩短手术时间,环钻微创手术切口小、创伤小、患者恢复快。额部多采用沿额纹切口,术后切口外观佳。结论应用环钻微创手术所需要时间短、失血少、创伤小,术后外观皮肤切口美观、并发症少。

Objective To summarize the application and effect of intracranial hematoma microneurosurgery by trephine-openning skull. Methods The 45 cases, composed by 42 traumatic ones and 3 idiopathic ones, were choosed, following intracranial hematoma in the frontal region with the volume as 30-50 ml. All the patients were performed intracranial hematoma microneurosurgery by means of trephine-openning skull technique according to the CT modelling localization. Results It was obvious that operative procedure was shorten deploying the trephine--openning skull to remove intracranial hematoma, which also processed to diminish the cut, decrease the trauma and make patients recover swiftly and better, accompanied by aesthetic incision after operative cutting along the frontal stripe in intracranial hematoma of the frontal region. Conclusion It would be considered as the effective application that the utilization of trephine--openning skull to remove intracranial hematoma take the merits of shortening the operative procedure, diminishing the bleeding, granting the aesthetic incision and decreasing the complication.