慢性硬膜下血肿诊治体会(附42例报告)

Clinical Summary of Chronic Subdural Hematoma (42 cases)

目的:提高慢性硬膜下血肿的治疗水平,减少术后并发症。方法:回顾我院1997年8月至2002年6月42例采取钻孔引流术、开瓣血肿清除术治疗的慢性硬膜下血肿病例,分析疗效及并发症。结果:慢性硬膜下血肿钻孔引流术治愈率高,但并发症较多。结论:钻孔引流术是治疗慢性硬膜下血肿最有效、安全的方法。

Objective: To improve the treatment techniques for the chronic subdural hematoma and decrease the postoperative complications. Methods: Summary of therapeutic experiences of 42 cases was reported from August 1997 to June 2002 (include drainage trephine and evacuation craniotomy) with the chronic subdural hematoma. Results: In all cases when the drainage trephine was used, there was no only high cure rate, but also many complications. Conclusion: Drainage trephine to treat the chronic subdural hematoma should be the most safe、 effective method.