婴幼儿外伤性硬膜下积液的外科治疗

Surgery Treatment of infants and young children traumatic subdral effusionin

目的比较几种小儿外伤性硬膜下积液的治疗方法。方法63例婴幼儿硬膜下积液，35例行钻孔硬膜下置管外引流术，其中2例改行硬膜下一腹腔分流术，1例改行开颅积液包膜切除术；28例保守治疗。结果35例行钻孔硬膜下置管引流术的患者，18例痊愈，14例好转，3例无效；28例保守治疗的患者，20例痊愈，8例好转；2例硬膜下腔-腹腔分流术及1例开颅手术积液包膜切除术的患者均痊愈。全组无手术感染及死亡。结论婴幼儿外伤性硬膜下积液的治疗，视具体情况可手术和保守治疗，手术治疗以硬膜下置管外引流术为首选。

Objective To campare the treatment of infants and young chinldren traumatic subdral effusionin. Methods Among the 63 infants and young chinldren with traumatic subdral effusionin,35 cases underwent trepanation subdural atheter drainage,2 of which, changdely underwent subduralloperitoneal shunt and 1of which changdely underwent craniotomy capsularectomy, and another 28 cases were treated by conservative treatment. Results In the 35 cases underwent subdural atheter drainage, healed 18, useful 14, effective 3. In the 28 cases underwent conservative treatment,healed 20,useful 8.2 cases underwent subduralloperitoneal shunt and 1 case underwent craniotomy capsularectomy had healed. In the group, there is no surgical infection and death. Conclusion In treatment of infants and young chinldren with raumatic subdral effusionin, surgical treatment or conservative treatment shoud be applicated aceoding to accurence. Subdural catheter drainage for subdural effusionin is the fist treatment of surgical treatment.