18例老年慢性分隔型硬膜下血肿微创治疗

Minimally invasive treatment of chronic partitive subdural hematoma in the aged

目的探讨慢性分隔型硬膜下血肿的影像学特征和有效的治疗方法。方法收集我院18例慢性分隔型硬膜下血肿的临床资料,全部病例均在局麻下施行微创钻孔隔膜疏通加置管引流术。结果血肿位于左额顶区10例,右额顶区8例。其中单分隔型6例,多分隔型12例,经上述治疗,均获满意效果,无并发症发生。结论CT是诊断慢性分隔型硬膜下血肿的较好方法,微创钻孔隔膜疏通加置管引流治疗此型血肿,操作简单、安全、疗效可靠。

Objective To explore the screenage characteristics and effective therapy. Methods Clinical data of 18 cases of chronic partitive subdural hematoma in our hospital was collected. Minimally invasive boring, diazoma stripping and drainage were performed in all of our patients under local anesthesia. Results There are 10 hematomas which were located at left frontal-parietal region, 8 hematomas were located at right frontal-parietal region, among these cases, 6 were mono-partition, and the others were multi-partition. Satisfied effects were obtained after surgical treatment in all cases. There is no complication. Conclusion CT scanning is a good diagnostic method for this disease. Minimally invasive boring, diazoma stripping and drainage were a simple, safe and effective therapy.