摘要
目的 :研究硬膜下腹腔分流术治疗难治性硬膜下积液疗效。方法 :在积液最厚处作头皮垂直切口 ,长 3cm ,全层切开头皮 ,乳突牵开器牵开 ,颅骨钻孔 1个 ,电灼后“ +”形剪开硬膜 ,硬膜下积液处内置管 2～ 3cm ,将腹腔分流管远端的裂隙部分剪去 ,然后通过皮下隧道置入腹腔。结果 :近期复查CT硬脑膜下积液消失者 2 4例 ,硬脑膜下积液明显缩小者 6例 ,随访半年再次复查CT者硬脑膜下积液均消失。结论 :硬膜下腹腔分流术治疗难治性硬脑膜下积液 ,手术安全可靠、简单易行、效果良好。
Objective: To study the effect of subdural_peritoneal shunt for difficult subdural effusion.Methods: Make a 3 cm long cut at the head skin which above the effusion,open the head skin by processus mastoideus opening device,drill a hole on head bone,cut dura mater into '+' shape after electricity burning,place a 2～3 cm long tube into subdural effusion,cut off crack part of shunting tube,then put into abdominal cavity through the subskin tunnel.Results: Early CT check,subdural effusion totaly disappeared in 24 cases,became smaller in 6 cases.After half a year followed_up,all cases disappeared.Conclusion: Subdural_peritoneal shunt for difficult subdural effusion is safe,easy to perform and effective.
出处
《河南医学研究》
CAS
2005年第1期51-52,共2页
Henan Medical Research
