【摘要】 目的总结67例经皮双针穿刺灌洗引流治疗慢性硬膜下血肿效果,探讨慢性硬膜下血肿治疗方法。方法67例均经CT或MRI检查确诊,都行经皮双针穿刺改良生理盐水(N.S)持续灌洗引流术。结果所有病例术后1～2d复查CT,血肿腔缩小90%以上,除9例有颅内少量积气外,末见有脑损伤、脑梗塞、颅内血肿、颅内感染、肺部感染、静脉血检形成和其他并发症。术后1～4d拔针,穿刺点一期愈合,痊愈出院,随防6～36月末见复发。结论经皮双针穿刺生理盐水持续灌洗引流术治疗慢性硬膜下血肿是一种微创、简单、高效和并发症少的方法,但穿刺针需要作改进。更多还原

【Abstract】 Objective To summarize the experience of treating elderly patients with chronic subdural hematoma(CSDH) by di-needls percutaneous puncture improved connecting irrigation in N.S and closed-system drainage and discuss the surgical therapy for CSDH.Methods 67 patients(47 males and 20 females;average age: 64.4±4.5years) who were affirmatively diagnosed as CSDH by CT or MRI ,were treated by di-needls percutaneous puncture improved connecting irrigation in N.S and closed-system drainage.Results All patients were re-examined by CT 1~2d after operation,The results showed that haematoma bores were withered by 90% or more,and no head injury,cerebral embolism,encephalic haematoma, intracranial infection, pulmonary infection,venous thrombosis ,as well as other complications were found except 9 cases of pneumocephalusl.After paracentetic needles were pulled out 1~4d after operation,all the patients got recovered and discharged, with puncture spot’s primarily healing.Follow-up for 6~36 months showed that no recurrence occurred.Conclusion Di-needls percutaneous puncture improved connecting irrigation in N.S and closed-system drainage were minimally invasive,simple,effective and even with few complications in the treatment of elderly patients with CSDH.However,the puncture needles need improvement.更多还原