慢性硬膜下血肿钻孔冲洗术后并发症的防治

Prevention and Treatment of Postoperative Complications of Chronic Subdural Hematomas after Burr-hole Craniostomy

目的 :分析并探讨慢性硬膜下血肿 (CSDH)钻孔冲洗引流术 (BHID)后并发症发生的原因及其防治 ,提高CSDH的治愈率 ,降低死亡率。方法 :回顾性分析 1996年 1月～ 2 0 0 1年 12月经钻孔冲洗治疗的 2 16例CSDH病人的临床资料。结果 :全组治愈 2 13例 ,死亡 3例 ,出现其他并发症 13例。其中血肿复发 8例 ,癫痫发作及脑卒中各 2例 ,张力性气颅 1例。结论 :BHID治疗CSDH较为安全 ,但仍有一些并发症和一定的死亡率。

Objective: To prevent and treat the postoperative complications of chronic subdural hematoma(CSDH) after burr hole craniostomy(BHID). Methods: We retrospectively analyzed the clinical data of 216 patients with CSDH treated by burr hole craniostomy between January 1,1996 and December 31,2001. Results: Clinical outcomes were satisfactory. 213 patients completely recovered after burr hole craniostomy.Three cases of patients died. 13 patients had postoperative complications. There were 8 patients with hematoma recurrence, 1 with subdural tension pneumocephalus, and 2 with epilepsy and stroke respectively. Conclusion:Although the treatment of CSDH with burr hole craniostomy is a safe and simple method, postoperative complications may occur and motality still exists in some patients.