微创闭式冲洗引流术治疗慢性及亚急性硬膜下血肿分析

Analysis of Minimally Invasive Closed Washing and Drainage in Treatment of Chronic and Subacute Subdural Hematoma

目的讨论微创冲洗引流术治疗慢性及亚急性硬膜下血肿分析。方法选取该院发生的慢性以及亚急性的硬膜血肿的患者39例,病例均选自2012年9月—2016年3月期间,均实行一次性的美敦力脑室引流装置以及冲洗的微创引流术医治,分析实行微创冲洗引流术的实用性和安全性。结果该组患者中,共行钻孔引流术39例,1例术后复查CT时亚急性硬膜下血肿引流满意,4 d后继发性硬膜下血肿开骨瓣手术,1例引流不畅再次开骨瓣手术,其余37例复查头颅CT血肿引流满意;该组无死亡病例,1例植物生存,1例肢体偏瘫,其余37例患者均痊愈出院。结论对于慢性以及亚急性硬膜下血肿实行微创冲洗引流术医治,安全可靠,具有重要的临床价值。

Objective To discuss the analysis of minimally invasive closed washing and drainage in treatment of chronic and subacute subdural hematoma. Methods 39 cases of patients with chronic and subacute subdural hematoma treated in our hospital from September 2012 to March 2016 were selected and were treated with one-off Medtronic external ventricular drainage device and irrigated mini-invasive drainage, and the practicality and safety of irrigated mini-invasive drainage were analyzed. Results In this group, 39 cases were treated with trepanation and drainage, and the subacute subdural hematoma drainage of 1 case was satisfactory when CT was reviewed after surgery, after four days, the secondary subdural hematoma was treated with craniotomy, and 1 case was given the second craniotomy due to inadequate drainage, and the hematoma drainage of the other 37 cases was satisfactory, and there were no death cases in the group, and there was 1 case with plant survival and 1 case with paralytic limbs, and the other 37 cases were discharged after cure. Conclusion The minimally invasive washing and drainage in treatment of chronic and subacute subdural hematoma is safe and reliable, which is of important value in clinic.