摘要
目的探讨神经内镜治疗分隔型慢性硬膜下血肿的方法及疗效。方法采用神经内镜对12例分隔型慢性硬膜下血肿进行治疗。术中钻孔后稍作扩大呈直径2 cm骨窗,打开硬膜,导入神经内镜,内镜直视下清除血肿,冲洗至术野清晰,镜下充分探查血肿腔,清除增生的纤维束,打通所有分隔,将血肿腔所有死角残留的血肿彻底冲洗清除,内镜直视下放置引流管外接闭式引流。结果术后本组患者症状均很快明显改善,术后第2～6天拔除引流管,患者均如期出院,随访3～6个月,无1例复发。结论神经内镜治疗分隔型慢性硬膜下血肿效果良好、安全、直观、微创。
Objective To investigate the method and curative effect of endoscopic treatment on the septated chronic subdural hematoma（SCSH）.Methods All 12 patients with SCSH were treated with neuroendoscopy.Made a keyhole craniotomy in operation,enlarged its diameter to 2 cm,opened the dura,the inserted flexible endoscope was inserted into the target position.The neomembrane which hinder the efflux of the hematoma were resected.Finally,closed system drainage was placed subdurally to guarantee efflux of hematoma fluid.Results The drainage tubes were removed at 2 to 6 postoperative days.On following up 3 to 6 months,all patients improved in clinic manifestation without a recurrence.Conclusion Neuroendoscopic treatment of septated chronic subdural hematoma is effective,safe,intuitional and micro-invasive.
出处
《中华全科医学》
2012年第8期1253-1255,共3页
Chinese Journal of General Practice
关键词
神经内镜
分隔型慢性硬膜下血肿
钻孔
冲洗引流
Neuroendoscope
Septated chronic subdural hlematoma
Drilling
Irrigation and drainage
