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目的:总结双侧慢性硬膜下血肿的手术治疗操作,观察其临床疗效。方法:选取2014年2月~2014年9月之间我院收治的双侧慢性硬膜下血肿46例,均实施微创穿刺外引流术,术后行头颅CT复查,及时处理残留血肿,嘱咐出院患者定期接受复查,观察手术情况与临床疗效。结果:全部患者的术中穿刺均一次性成功,其体征与临床症状术后均明显减轻,主诉症状完全消失,没有发生张力性气颅、急性颅内血肿、颅内感染等严重并发症,住院时间平均(5.6±0.8)d,出院前存在少量硬膜下积液者19例,血肿腔消失者27例,术后复查无1例复发,且患者血肿腔均消失。结论:对双侧硬膜下血肿患者实施微创穿刺引流术,同时对双侧进行交替冲洗,能够有效减轻患者的临床症状,使血肿腔消失,而且并发症发生率低,手术安全性高,值得在临床上进行推广。
Objective: To summarize the surgical treatment of bilateral chronic subdural hematoma and observe its clinical efficacy. Methods: Forty-six patients with bilateral chronic subdural hematoma admitted from February 2014 to September 2014 in our hospital were treated with minimally invasive puncture and drainage. After the operation, head CT was performed to treat the residual hematoma. Discharged patients were regularly reviewed to observe the operation and clinical efficacy. Results: All the patients’ intraoperative puncture were successful in one time. The symptoms and symptoms were relieved postoperatively. The symptoms complained disappeared completely. There were no serious complications such as tension pneumocephalus, acute intracranial hematoma and intracranial infection, and hospitalization The average time was (5.6 ± 0.8) d. There were 19 cases with small amount of subdural effusion before discharge and 27 cases with disappearance of hematoma. There was no recurrence after operation and no hematoma cavity disappeared. Conclusion: The minimally invasive puncture and drainage of patients with bilateral subdural hematoma, while alternately washing both sides, which can effectively reduce the clinical symptoms of patients with hematoma cavity disappear, and the incidence of complications is low, the safety of surgery, Worth to be clinically promoted.