摘要
目的探讨微创钻颅联合血肿腔内应用氨苯甲酸治疗慢性硬膜下血肿的疗效。方法所有患者均根据颅脑CT扫描检查结果,以血肿最大层面为中心,在其后下方和前上方,分别钻直径3mm骨孔各一个,置入引流管,然后用0.4‰氨苯甲酸冲洗液经引流管注入,反复冲洗血肿腔,直至流出液体基本清亮后夹管2～4h后开放引流管持续引流,引流1～2d无引流液引出后,复查颅脑CT提示无血肿残留即拔除引流管。结果66例患者中,术后全部痊愈出院,无1例死亡,仅1例患者术中出血,随访1～3个月无1例血肿复发。结论微创钻颅联合血肿腔内应用氨苯甲酸的治疗慢性硬膜下血肿操作简单、手术时间短、创伤小、并发症少、疗效高、住院时间短、费用低廉等优点,值得临床推广应用。
Objective To investigate the minimally invasive cranial ＋ hematoma cavity drilling applications ammonia acid treatment of chronic subdural hematoma treatment. Methods All patients were in accordance with the results of brain CT scan to the maximum level hematoma as the center, then at the top of the bottom and the former were drilled bone hole 3 mm in diameter each one, into the drainage tube, and then acid washed 0. 4 %o ammonia drainage tube into the liquid by repeatedly washing hematoma cavity, until the basic clear liquid outflow pipe folder after 2 - 4 hours after the open drainage tube drainage, drainage, 1 - 2 days without drainage of fluid extraction, the review of brain CT prompted no residual hematoma or removal of drainage tube. The results of 66 cases of patients discharged after full recovery, no death, only one bleeding patients were followed up for 1 to 3 months without a case of hematoma recurrence. Conclusion Minimally invasive cranial ＋ hematoma cavity drilling applications ammonia acid treatment of chronic subdural hematoma is simple, short operation time, less trauma and less complications and high efficacy, hospitalization time is short, low-cost advantages, is worthy to be popularized apply.
出处
《中国实用医药》
2009年第14期37-38,共2页
China Practical Medicine
关键词
微创钻颅
氨苯甲酸
慢性硬膜下血肿
Minimally invasive cranial drill
Ammonia acid
Chronic subdural hematoma
