微创手术治疗外伤性亚急性颅内血肿伴剧烈头痛的效果观察

Effect of minimally invasive surgery in the treatment of subacute traumatic intracranial hematoma with intense headache

目的探讨微创手术治疗外伤性亚急性颅内血肿减轻头痛的效果。方法对39例血肿量在8～30ml。GCS评分14-15分的外伤性亚急性颅内血肿患者应用颅骨钻孔颅内血肿清除、置管引流术及YL-1型微创颅内碎吸引流针锥颅引流术治疗，观察效果。结果所有患者经微创手术治疗后，次日即感觉剧烈头痛减轻，可以正常进食睡眠；无需继续服止痛药者37例，其余2例于30d内停用止痛药；无死亡病例。出院后患者门诊随诊复查2-3个月，基本无头痛或仅有轻微头晕。结论微创手术治疗亚急性颅内血肿能迅速有效减轻患者头痛，促进神经恢复，缩短住院时间，减少患者痛苦。

Objective To investigate the headache alleviation effect of minimally invasive surgery in the treatment of subacute traumatic intracranial hematoma. Methods Thirty-nine patients of subacute traumatic intracra- nial hematoma, with hematoma volume of 8-30 ml and GCS score of 14-15, were treated by sphenotresia （to remove intracranial hematoma）, catheter drainage and drilling skull drainage with YL-1 type minimally invasive intracranial aspiration needle. The clinical efficacy was observed. Results After minimally invasive surgery, all the patients were found with relieved headache the next day, taking food and sleep as usual. Thirty-seven patients had no need to take painkillers, and the rest 2 patients stopped using painkillers within 3-7 days. No case of death was found. The patients were followed up and checked at clinic 2-3 months after discharge. They were found to have almost no headache or just mild dizziness. Conclusion Treating subacute intracranial hematoma with minimally invasive surgery could rap- idly and effectively relieve the patient＇ s headache, stimulate neurology recovery, shorten the hospitalization time, and alleviate patients＇ pain.