微创穿刺引流治疗合并血小板减少的慢性硬膜下血肿的疗效

Micropuncture technique puncture treating chronic subdural hematoma combined thrombocytopenia

目的:分析微创穿刺引流手术治疗合并血小板减少的慢性硬膜下血肿的方法及疗效。方法:收治慢性硬膜下血肿患者28例,根据头颅CT结果,采用局麻下微创血肿腔内置入穿刺针进行冲洗引流,部分患者血肿腔内注入尿激酶溶解血肿。术后补充提升血小板药物和停用抗凝药物,定期复查血小板计数、头颅CT。结果:28例患者均经穿刺引流治愈,未发生急性颅内出血。术后1个月血小板计数均恢复正常。随访6~9个月,未见血肿复发。结论:微创穿刺引流术治疗合并血小板减少的慢性硬膜下血肿操作简单,并发症少,不易复发。

Objective:To analyze the method and curative effect of micropuncture technique puncture in the treatment of chronic subdural hematoma combined thrombocytopenia.Methods:According to the results of the CT,28 cases of patients with chronic subdural hematoma were given puncture needle in micropuncture hematoma cavity under local anesthesia and drainage,and part of the patients were injected urokinase into hematoma cavity to dissolve hematoma.The platelet improved drugs and discontinued anticoagulant were supplement postoperative.The platelet count and head CT were reviewed periodically.Results:28 cases of patients were cured by puncture and drainage,and there was no acute intracerebral hemorrhage.After 1 month,the platelet counts were back to normal.Followed-up for 6~9 months,there was no recurrence of hematoma.Conclusion:Micropuncture technique puncture in the treatment of chronic subdural hematoma combined thrombocytopenia had simple operation and less complications,which relapsed difficultly.