微侵袭钻孔引流术治疗急性硬膜下血肿93例分析

Analysis on the therapeutic effect of minimally invasive trepanation and drainage in 93 patients with acute subdural hematoma

目的：分析微侵袭钻孔引流术治疗急性硬膜下血肿的疗效。方法：93例急性硬膜下血肿接受微侵袭钻孔引流术治疗，采用YL—1型穿刺针，在CT定位下引流硬膜下血肿，而后进行常规开颅治疗。比较手术前后格拉斯哥昏迷评分（GCS）、基底池消失评分（CES），观寨患者近期存活情况。结果：术后1—14d死亡21例（22．58％），术后存活者GCS和CES评分明显优于治疗前，血肿量、瞳孔对光反射异常、呼吸节律异常和巴氏征阳性例数均明显少于治疗前（P均〈0．05～0．01）。结论：微侵袭钻孔引流术治疗急性硬膜下血肿疗效较好。

Objective： To analyze the therapeutic effect of minimally invasive trepanation and drainage in treating 93 patients with acute subdural hematoma. Methods： 93 inpatients with acute subdural hematoma were treated with minimally invasive trepanation and drainage. YL - 1 type puncture needles were used, subdural hematoma was drained under CT, and then routine craniotomy was carried out. The scores of Glasgow coma scale （GCS） and effacement score for basal cistern （CES） were compared before and after surgery, and the recent survival of the patients was observed： suits：21 （22.58%） of the 93 patients with acute subdural hematoma died within 1 to 14 days after surgery. The scores of GCS and CES of the survivals after surgery were obviously better than those before surgery ; the average volume of hematoma, and the number of cases of abnormal light reflex of pupils, abnormal respiratory rhythm and positive Babinski sign in the survivals after surgery were all obviously fewer than those before surgery （P all 〈 0. 05 to 0.01 ）. Condusion： Minimally invasive trepanation and drainage has favorable therapeutic effects on patients with acute subdural hematoma.