钻孔冲洗引流术治疗慢性硬膜下血肿

Burr Hole Irrigation and Drainage in the Treatment of Chronic Subdural Hematoma

目的探讨慢性硬膜下血肿手术治疗方法。方法回顾分析130例慢性硬膜下血肿病人的临床特点、神经影像学资料、治疗方法和结果。结果全部病例均采用钻单孔血肿腔冲洗加引流术,患者颅内高压、脑受压的症状、体征,均在术后24 h内明显好转。术后未有气颅、再出血、感染、癫痫等并发症发生。结论只要明确诊断,选择钻单孔冲洗引流血肿液,置换入生理盐水,可以有效地避免复发、气颅、颅内出血、脑脊液漏等并发症,一般均能取得良好预后。钻单孔冲洗引流术是比较理想的治疗方法。

Objective To investigate the surgical treatment of chronic subdural hematoma. Methods A retrospective analysis of 130 cases of chronic subdural hematoma, clinical features, neuroimaging data, treatment methods and results. Results All patients were treated with burr single - hole hematoma cavity irrigation and drainage. In- tracranial pressure, brain pressure symptoms, physical symptoms improved markedly within 24 h post operation. No pneumocephalus, bleeding, infection, epilepsy and other complications occurred after surgery. Conclusion In the base of clear diagnosis, choose burr single - hole irrigation and drainage of hematoma fluid, replacement into the saline, can effectively avoid the recurrence, pneumocephalus, intracranial hemorrhage, cerebrospinal fluid leak and other complications, and generally able to achieve a good prognosis. The burr single -hole drainage surgery is the ideal method of the treatment.