解放军医学杂志2011，Vol.36Issue(10)：1077-1079,3.
额部钻孔冲洗虹吸引流术治疗慢性硬膜下血肿(附139例报告)
Treatment of irrigation through burr hole with siphonage drainage for chronic subdural hematoma: a report of 139 cases
魏社鹏 1孙志扬 1赵继宗 2周范民 3丁侃 1张巍峰 1张燕飞 1杨成 1魏亮 1张夔呜1
作者信息
- 1. 200120 上海 同济大学东方医院神经外科
- 2. 100050 北京 首都医科大学天坛医院神经外科
- 3. 200040 上海 复旦大学华山医院神经外科
- 折叠
摘要
Abstract
Objective To investigate the effect of irrigation through burr hole with siphonage drainage on chronic subdural hematoma (CSDH). Methods The clinical data of 139 patients with CSDH (89 males and 50 females, aged from 48 to 87 with mean of 66.4 years) hospitalized from Jaa 2006 to Dec 2010 were retrospectively reviewed. All the patients were finally diagnosed by radiology, and divided into 3 groups according to the operative method, I. E. Parietal burr hole irrigation with drainage group (group A, n=47), parietal burr hole irrigation and aspiration group (group B, n=41), and frontal burr hole irrigation with siphonage drainage group (group C, n=51). All the patients were treated with closed drainage for 2 - 6 days. The activity of daily living (ADD scores was measured before and 7 days after operation in all patients. The patients were followed-up for 12-36 months to observe the treatment results. Results No death occurred in the 3 groups during the follow-up period. The improvement of ADL was markedly better in group C than in group B (P<0.05) and group A (P<0.01), and in group B than in group A (P<0.05). The recurrence rate was significantly lower in group C (0.02%) than in group B (12.19%, P<0.05) and group A (29. 79%, P<0. 01), and in group B than in group A (P<0.05). No significant difference was found regarding length of hospital stay among the 3 groups (P>0.05). Conclusion The frontal burr hole irrigation with siphonage drainage has a definite treatment effect for CSDH with a low recurrence rate and less complications, and is appropriate to use in most of CSDH patients.关键词
血肿,硬膜下,慢性/神经外科手术/灌洗/引流术Key words
hematoma, subdural, chronic/ neurosurgical proceduresl/ irrigation/ drainage分类
医药卫生引用本文复制引用
魏社鹏,孙志扬,赵继宗,周范民,丁侃,张巍峰,张燕飞,杨成,魏亮,张夔呜..额部钻孔冲洗虹吸引流术治疗慢性硬膜下血肿(附139例报告)[J].解放军医学杂志,2011,36(10):1077-1079,3.
