神经内窥镜治疗分隔型慢性硬膜下血肿(45例报告)

Endoscopic treatment of septated chronic subdural hematoma With a report of 45 cases.

目的 评估神经内窥镜治疗分隔型慢性硬膜下血肿 (SCSH)的疗效及优点。 方法 通过单一钻孔用内窥镜显微剪分离血肿腔内隔膜并冲洗引流血肿液 ,治疗 4 5例分隔型慢性硬膜下血肿。 结果 所有病例治疗有效 ,原有意识状况、定位体征改善 ,无血肿复发、感染、脑水肿、颅内出血、积气及新的神经功能缺失。 结论 神经内窥镜是治疗分隔型慢性硬膜下血肿安全、有效、便捷的微侵袭技术。

Objective To evaluate the therapeutic results of neuroendoscopy for the treatmentof of patients with septated Chronic Subdural Hematoma(SCHS). Methods 45 patients with SCSH were operated on under endoscope through a burrhole approach.neomembranes were resected by small microscissors.A closed drainage system was applied temporarily to ensure the efflux of the remaining hematoma. Results Forty-five cases were treated successfully.All patients had a sufficient or complete hematoma evacuation whithout recurrence of subdural hematoma.There was no subdural infection,bleeding,brainedema and cranial aerocele. Conclusions Neuroendoscopy is minimally invasive technique and have the advantages ot simple,effective,safe,less complication,less expensive and shorter hospitalization in the treatment of SCSH.