分隔型慢性硬膜下血肿的神经内镜治疗效果

Neuroendoscopic treatment of septated chronic subdural hematoma

目的探讨分隔型慢性硬膜下血肿(sCSDH)的神经内镜治疗效果。方法回顾性分析2018年1月-2021年7月该院46例接受神经内镜治疗的sCSDH患者的临床资料。术后随访3~6个月,统计疗效及复发情况。结果平均手术时间(73.4±15.7)min,完全清除血肿40例(87.0%),分隔完全游离45例(97.8%),平均置管时间(30.1±7.9)h,平均住院时间(5.5±1.8)d,症状改善且恢复良好者42例(91.3%),复发1例(2.2%)。结论神经内镜治疗sCSDH疗效显著,更适合患有基础疾病的高龄患者,值得临床推广普及。

Objective To evaluate the efficacy of neuroendoscopic surgery for septated chronic subdural hematoma(sCSDH).Methods Clinical data of 46 patients with sCSDH who received neuroendoscopic surgery from January 2018 to July 2021 were analyzed retrospectively.The patients were followed up for 3 to 6 months,and the recurrence rate were calculated.Result The average operation time was(73.4±15.7)min,the hematoma was completely removed in 40 cases(87.0%),and the separation was completely free in 45 cases(97.8%),the average catheterization time was(30.1±7.9)h,the average hospital stay was(5.5±1.8)d,the symptoms of 42 patients(91.3%)were improved and recovered well,and 1 case(2.2%)recurred.Conclusion Neuroendoscopic surgery is effective in treatment of sCSDH,which is suitable for elderly patients with basic diseases and is worth popularizing.