小儿骑跨横窦硬膜外血肿的手术治疗

Surgical treatment of epidural hematoma straddling transverse sinus in children

目的探讨小儿骑跨横窦硬膜外血肿手术治疗的方法及效果。方法对2013年1月至2016年9月吉林大学第一医院神经创伤外科手术治疗的22例小儿骑跨横窦硬膜外血肿患者的临床资料进行回顾分析。结果所有患者均行手术治疗;本组22例患者,术前呕吐18例于术后3 d内均缓解;术前昏迷者1例,术后第2 d清醒。术后1～3 d复查头部CT示血肿基本清除干净,术区无继发性出血。22例患者成功随访3个月,全部恢复正常,无意识障碍,无肢体活动障碍,切口愈合良好。结论对达到手术指征的小儿骑跨横窦硬膜外血肿患者及时行手术治疗,可达到满意的效果。

Objective To explore the method and effect of surgical treatment of epidural hematoma straddling transverse sinus in Children. Methods The clinical data of 22 cases of children with surgical treatment of epidural hematoma straddling transverse sinus from January 2013 to September2016 in our hospital were retrospectively analyzed. Results All patients underwent surgical treatment,and preoperative omitting were relieved during 3 d postoperatively in 18 cases. Preoperative coma occurred in 1 case and the patient was awake after 2 d postoperatively. Postoperative head CT scan showed that hematoma was nearly all removed, no secondary bleeding in the operation area. 22 patients were successfully followed up for three months and all of them return to normal activities without conscious disorder and the incision healed well after operation. Conclusion Children who have surgical indications of epidural hematoma straddling transverse sinus were treated timely with surgical treatment, which could achieve satisfactory results.