老年人慢性硬膜下血肿的微创治疗

Minimal Invasive Surgery of Chronic Subdural Bematoma in the Aged Patients

目的探讨老年人慢性硬膜下血肿的诊断方法及效果。方法回顾性分析2002年9月～2009年5月我院收治35例年龄超过70岁的老年人慢性硬膜下血肿的临床资料,此组病例均经头CT或MRI确诊。治疗方法均采取局麻下患侧颅骨钻孔冲洗引流术。结果 33例术后均痊愈,2例术后三个月内复发,全组无死亡病例。结论老年人慢性硬膜下血肿确诊的首选方法是颅脑CT,必要时辅以MRI检查。钻单孔微创引流术为简便易行的治疗方法,且效果良好。

Objective To explore the diagnosis methods and minimal invasive surgical outcom of chronic subdural hematoma in the aged patients. Methods 35 aged patients with chronic subdural hematomas treated in our department were retrospectively reviewed from April of 2002 to May of 2009.All patients got correct diagnosis before operation underwent cranial CT or MRI. We launched single twist-drill cranionstomy in affected part in local anaesthesia with irrigation and drainage in every patient. Reslults 35 patients hadgood outcome without recurrence after operation.The period of follow-up varied from 1-6 months, but two patient were recurrence, and no patient was dead. Conclusion Cranial CT shouid be taken before you make correct diagnosis; in addition, cranial MRI is taken when necessary. Minimal invasive surgery of single twistdrill eraniostomy with irrigation and drainage is a easy and convenient method, and has good outcom.