【摘要】 目的探讨硬膜下积液的外科治疗新方法—钻孔外引流加颞肌筋膜下分流术及其疗效。方法对32例50岁以上外伤性硬膜下积液患者行硬膜下积液钻孔外引流加颞肌筋膜下分流术手术的临床资料进行回顾分析。结果无手术死亡或慢性硬膜下血肿等并发症。近期复查CT硬脑膜下积液消失者26例(81.25%),明显缩小者6例(18.25%)。随访0.5~5年(平均25个月),复查CT,硬脑膜下积液均消失。结论钻孔外引流加颞肌筋膜下分流术治疗外伤性硬膜下积液,手术安全可靠、简单易行、效果良好。更多还原

【Abstract】 Objective To introduce a surgical method to treat traumatic subdural effusion(TSE): external drainage after burr hole and subtemporal muscular fasciae drainage,and to explore the efficacy.Methods Thirty-two cases of TSE,all above fifty years old,were analyzed retrospectively.All cases were underwent external drainage after burr hole and subtemporal muscular fasciae drainage operation. Results None of them died from operation,and without accompanying postoperative complications such as chronic subdural hematoma(CSH) and so on.Early CT check,subdural effusion totaly disappeared in 26 cases(81.25%),became smaller in 6 cases(18.25%).The follow-up was 6-60 months(mean 25 months),CT-recheck revealed all bad clinical manifestation disappeared.Conclusion External drainage after burr hole and subtemporal muscular fasciae drainage operation for TSE is safe,easy to perform and effective.更多还原