【摘要】 目的探讨外伤性硬膜下积液的治疗方法。方法对247例诊断明确、资料完整的外伤性硬膜下积液患者,依患者病史、头颅CT特点及有无动态变化分为消退型(A组,138例)、稳定型(B组,73例)、进展型(C组,36例)三组,并对各组患者的治疗结果进行总结、分析。结果A组采取保守治疗效果好,治愈率达92%;B组84%选择非手术治疗,90%治愈,其他好转,16%患者采用体外引流,75%患者治愈,其他好转;C组经保守治疗疗效欠佳,所有患者先行体外引流术,53%患者获得治愈,17%患者好转,另外30%患者需行硬膜下腔-腹腔引流术。结论不同类型的外伤性硬膜下积液的治疗方法和预后各不相同,临床治疗策略也应不同。更多还原

【Abstract】 Objective To explore the types and therapy of traumatic subdural hydroma(TSH).Methods Two hundred and forty-seven cases of TSH were classified into three types: regressive type(group A,n=138),stable form(group B,n=73) and advanced type(group C,n=36) on the basis of their clinical characteristics and dynamic observation of CT scanning.The therapeutic results of three types were analyzed.Results The patients in group A had good prognoses using the conservative therapy and the cure rate was 92%,Among the stable form about 84% patients were treated by conservative therapy and the cure rate was 90%,other patients were treated with external drainage and about 75% patients were cured,25% patients were improved.The patients with advanced type can not obtained well consequence treated with conservative therapy and then all patients treated with external drainage,about 53% patients were cured and the others were treated with cavum subdural-peritoneal shunt.Conclusion The clinical characteristics,treatment methods and prognoses varied with different types of TSH.更多还原