神经内镜下钻孔冲洗术治疗老年人慢性硬膜下血肿

被引：12

作者：

陈国强

张光明

王晓松

左焕琮

机构：

[1] 清华大学附属第二医院神经外科

[2] 清华大学附属第二医院神经外科北京市

[3] 北京市

来源：

中华老年医学杂志 | 2005年 / 07期

关键词：

内窥镜检查; 血肿,硬膜下; 环钻术;

D O I：

暂无

中图分类号：

R651.1 [颅脑];

学科分类号：

1002 ; 100210 ;

摘要：

目的探讨一种新的治疗老年慢性硬膜下血肿(CSDH)的有效方法。方法对37例年龄介于60～86岁、平均68.5岁的CSDH患者采用软性神经纤维内镜下钻孔冲洗术进行治疗,其中5例为单纯采用钻孔冲洗引流术后复发患者。术中在直视下彻底冲洗血肿,清除血肿腔内的血凝块,电凝出血灶,打通血肿分隔并将血肿腔与正常硬膜下腔打通。结果随访2～18个月,所有患者血肿均完全消失,34例患者术后临床症状改善,无严重并发症及死亡病例出现。结论采用软性纤维神经内镜下的血肿钻孔冲洗术治疗CSDH可以明显提高治疗效果、避免血肿复发及钻孔冲洗引流术所带来的并发症。

引用

页码：505 / 507

页数：3

共 7 条

[1]

Relationship between drainage catheter location and postoperative recurrence of chronic subdural hematoma after burr-hole irrigation and closed-system drainage. Nakaguchi H,Tanishima T,Yoshimasu N. Journal of Neurosurgery . 2000

[2]

Recurrence factors for chronic subdural hematomas after burrhole craniostomy and closed system drainage. Matsumoto K,Akagi K,Abekura M,et al. Neurological Research . 1999

[3]

Why do chronic subdural hematomas continue to grow slowly and not coagulate? Role of thrombomodulin in the mechanism. Murakami H,Hirose Y,Sagoh M,et al. Journal of Neurosurgery . 2001

[4]

Why do chronic subdural hematomas continue to grow slowly and not coagulate? Role of thrombomodulin in the mechanism. Murakami H,Hirose Y,Sagoh M,et al. Journal of Neurosurgery . 2001

[5]

Clinical factors of recurrent chronic subdural hematoma. Oishi M,Toyama M,Tamatani S,et al. Neurologia Medico Chirurgica . 2001

[6]

Endoscopic findings in chronic subdural hematoma. Shiomi N,Hashimoto N,Takeuchi H,et al. No Shinkei Geka . 2002

[7]

Surgical treatment of chronic subdural hematoma in 500 consecutive cases: clinical characteristics, surgical outcome, complications, and recurrence rate. Mori K,Maeda M. Neurologia Medico Chirurgica . 2001

← 1 →