中华神经创伤外科电子杂志2016，Vol.2Issue(2)：78-82,5.DOI:10.3877/cma.j.issn.2095-9141.2016.02.004
负压抽吸冲洗在慢性硬膜下血肿术后早期脑复位中的作用
Ef fect of close-conditioned aspiration and irrigation on early postoperative brain reposition in patients with chronic subdural hematoma
贺绪智 1张溢华 1梁鸿 1易良 1曾实 1许民辉 1徐伦山 1张云东 1沈光建 1王旭辉 1王昊 1任明亮 1杨华江1
作者信息
- 1. 400016重庆，第三军医大学第三附属医院神经外科
- 折叠
摘要
Abstract
Objective To study the efficiency of close-conditioned aspiration and irrigation in early postoperative brain reposition in patients with chronic subdural hematoma (CSDH). Methods Retrospective analysis has been applied to 287 CSDH cases treated from July 2009 to July 2015 in the third affiliated hospital of the third military medical university, with burr-hole irrigation and closed-system drainage. During operation, different irrigation had been used: Group A (78 cases) under open condition, Group B(94 cases)with close-conditioned equivalent replacement and Group C (115 cases) with close-conditioned aspiration and irrigation; and postoperative tubes were planted for closed-system drainage, with supination for 1 to 3 days till the extraction. Postoperative CT were all required by 1~2 times within 24~72 h, aiming to get brain expansion ratio between postoperative residual cavity and pre-operative hematoma cavity, based on the best post-operative brain reposition indicated by CT. Mean value of brain expansion ratios were calculated in Group A, B and C. Postoperative complications were recorded at the early(≤7 d) and late (≥3 months) postoperative stages, with bleeding, epilepsy and infection in the early, and subdural fluid collection and hematoma recurrence in the late. SPSS15.0 statistics was applied to e very mean value inanalysis of variance, and χ2 test was performed to analyze clinical data. Results Postoperative brain expansion ratios are statistically significant (P<0.05) but clinical data is not (P>0.05), nor the early postoperative complications (P>0.05). Conclusion As for the early brain reposition (≤72 h), close-conditioned aspiration and irrigation is more advisable in operation than close-conditioned equivalent replacement which is more efficient than open-conditioned irrigation, because of its security and efficiency to CSDH.关键词
慢性硬膜下血肿/脑复位/负压抽吸冲洗Key words
Chronic subdural hematoma/Brain reposition/Close-conditioned aspiration and irrigation引用本文复制引用
贺绪智,张溢华,梁鸿,易良,曾实,许民辉,徐伦山,张云东,沈光建,王旭辉,王昊,任明亮,杨华江..负压抽吸冲洗在慢性硬膜下血肿术后早期脑复位中的作用[J].中华神经创伤外科电子杂志,2016,2(2):78-82,5.
