摘要
目的探讨小骨窗开颅手术治疗慢性硬膜下血肿的相对适应证和预后。方法回顾性分析了南通大学附属东台医院神经外科2010年12月至2012年12月小骨窗开颅手术治疗的40例慢性硬膜下血肿患者的临床资料,总结小骨窗开颅手术的相对适应证和预后。结果术后症状立即消失的患者35例(87.5%),术后1个月症状消失的患者2例,随访6个月症状未消失患者2例,植物生存状态1例,无死亡和复发病例。结论由头部外伤导致的慢性硬膜下血肿,在慢性血肿期,以头痛、头昏为首发症状,同时影像学检查有明显占位效应和混杂密度影时,可首先考虑小骨窗开颅血肿清除的手术方法,效果较确切,患者预后好,从而可提高治愈率,减少复发。
Objective To investigate the relative indications and prognosis of small bone window craniotomy treatment in patients with chronic subdural hematoma. Methods The clinical date of 40 patients with operatived chronic subdural hematoma,admitted to Department of Neurosurgery of the Dongtai Affiliated Hospital of Nantong University from December 2010 to December 2012 and performed small bone window craniotomy,were retrospective analyzed,their relative indications and prognosis were concluded. Results There are 35 patients with postoperative symptoms disappeared immediately（87.5%）,2 patients with symptoms disappeared in one month. Follow-up was performed for 6 months：2 patients with symptoms have not disappeared,vegetative being in 1,no death and recurrence was noted. Conclusion Chronic subdural hematoma caused by head trauma,during chronic hematoma,look headache and dizziness as the first symptom,and imaging examination showed mixed-density,we may choose small bone window craniotomy to treat chronic subdural hematoma at first. Its effect is exact,the patients＇ prognosis is good,then it may promote the ration of cure,decline the recurrence.
出处
《中华神经创伤外科电子杂志》
2017年第2期76-79,共4页
Chinese Journal Of Neurotraumatic Surgery：Electronic Edition
基金
江苏省卫生厅医改试点单位基金资助项目(YG201318)
江苏省盐城市医学青年人才项目(盐卫科教[2016]4号)
关键词
慢性硬膜下血肿
小骨窗开颅
手术治疗
疗效
Chronic subdural hematoma
Small bone window craniotomy
Surgical treatment
Effect
