目的探讨硬通道微创穿刺术治疗急性稳定型硬膜外血肿的临床治疗效果。方法急性硬膜外血肿18例,采用YL-1型一次性颅内血肿碎吸针经头皮穿刺冲洗、粉碎、引流血肿,并联合尿激酶溶解血肿。结果该组18例全部治愈。术后持续引流时间3~5 d,术中未出现大出血及术后血肿;无发生颅内感染、张力性气颅等并发症,术后复查CT仅4例颅内有少量积气,血肿清除率为90%~100%,占位效应基本消失,拔出穿刺针。出院时日常生活量表(activity of daily living,ADL)分级:Ⅰ级15例,Ⅱ级3例。术后随访3~6月,除3例失访,其余患者ADL分级均为Ⅰ级。结论硬通道微创穿刺术具有手术操作简便快捷、治疗效果肯定、损伤轻微等优点,降低了住院时间及费用,是治疗急性硬膜外血肿的一种可选择的新手术方式。但应注意把握手术适应证及手术时机。
【英文摘要】
Objective To explore the clinical therapeutic effect of hard channel minimally invasive puncture in treating epidural hematoma of acute stable type. Methods For acute epidural hematoma in 18 cases,the YL-1 type disposable intracranial hematoma aspiration needle aspiration was used for through the scalp,smashing and drainage of hematoma,and combined with urokinase for dissolving hematoma. Results The 18 cases were all cured. After surgery continuous drainage was for 3-5 days,without blood transfusion. There ...
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