时间窗提前改良锥颅术在特定急性硬膜外血肿中转手术中的应用

Application of early time window modified stereotaxic aspiration in converting operation therapy on the specified acute epidural hematoma

目的 探讨时间窗提前改良锥颅术在特定急性硬膜外血肿中转手术治疗中的应用效果.方法 时间窗提前应用改良锥颅引流技术,采用YL-1型血肿穿刺针接硅胶脑室引流管,治疗特定的急性硬膜外血肿21例.结果 穿刺成功率100％;19例血肿完全清除;2例患者残留少量硬膜外积液.穿刺过程中1例伴发再出血,即转为开颅血肿清除.结论 时间窗提前改良锥颅引流手术在掌握穿刺指征、时机和技巧下,对特定的急性硬膜外血肿的治疗是一种微创、安全、有效的治疗方法.

Objective To discuss the application of early time window modified stereotaxic aspiration in converting operation therapy on the specified acute epidural hematoma.Methods 21 patients with the specified acute epidural hematoma were treated with early time window modified stereotaxic aspiration drainage,using YL-1 hematoma puncture needle with silica gel ventricular drainage tube.Results The successful rate of puncture was 100%.Hematoma was completely cleared in 19 cases.A small amount of epidural effusion was remained in 2 cases.1 case had concomitant rebleeding during the puncture,and shifted to craniotomy.Conclusion Early time window modified stereotaxic aspiration drainage is a minimally invasive,safe and effective treatment on the specified acute epidural hematoma when mastering the indications,timing and skills of puncture.