摘要
目的总结老年慢性硬膜下血肿手术治疗经验及疗效。方法回顾性分析78例慢性硬膜下血肿患者的临床及神经影像学特征、手术方法和经验。结果本组78例患者通过钻孔冲洗引流及骨瓣开颅血肿清除术，出院时Bender分级较人院时显著提高，疗效满意；本组术后血肿复发9例（11．5％），发生较严重并发症17例（21．8％）。结论老年人慢性硬膜下血肿手术治疗因人而异，首选钻孔引流术，重视手术后CSDH复发及并发症的防治有助于改善患者的预后。
Objective Evaluate the Methods Clinical and neuroimaging features as patients were analysed retrospectively. Results effects of the operation of chronic subdural hematoma in aged patients. well as ways and experiences of 78 cases of chronic subdural hematoma in aged Bender classifications of the patients discharge from hospital were significantly increased compared with those at admission and satisfactory results were achieved by the operations of burr holes irrigation and drainage then the clearance of hematoma by craniotomy with bone flap for the 78 patients. Recurrence of hematoma occurred in 9 cases （ 11.5 % ） after operations and the occurrence of severe complications was 17 cases （ 21.8 % ） . Conclusion Operation of chronic subdural hematoma in aged patients should vary with different individuals with burr holes irrigation and drainage as the top choice. The great attention of recurrences and cure of complication were helpful to improve the prognosis for the patients.
出处
《浙江临床医学》
2012年第5期535-537,共3页
Zhejiang Clinical Medical Journal
关键词
血肿
硬膜下
外科
手术
回顾性研究
Hematoma Subdural Surgery Operation Retrospective study
