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目的探讨钻孔冲洗引流术治疗老年慢性硬脑膜下血肿(CSDH)的疗效及价值。方法选取老年CSDH患者54例,采用钻孔冲洗引流术治疗,回顾性分析患者的临床资料。结果 54例中,治疗效果良好53例(98.1%);另1例拔除引流管后继发硬脑膜下急性出血、脑疝,给予急诊开颅血肿清除去骨瓣减压,留有轻度脑瘫。术后发生张力性气颅4例,硬脑膜下积液5例(积液>10ml),癫痫3例,经对症处理后恢复或控制。54例患者住院时间(10.4±2.1)d,引流时间(2.5±1.0)d。结论钻孔冲洗引流术治疗老年CSDH,安全性好,操作简单,疗效可靠。
Objective To investigate the efficacy and value of hole flush drainage in the treatment of senile chronic subdural hematoma (CSDH). Methods Fifty-four elderly patients with CSDH were selected and treated by drilling irrigation and drainage. The clinical data of the patients were retrospectively analyzed. Results Among the 54 cases, the treatment effect was good in 53 cases (98.1%). In another case, the acute subdural hemorrhage and hernia were removed after removal of the drainage tube, and the decompressive craniectomy hematoma was removed and the flap was left with mild cerebral palsy. Postoperative tension pneumocranium in 4 cases, 5 cases of subdural effusion (effusion> 10ml), epilepsy in 3 cases, recovered or controlled after symptomatic treatment. 54 patients were hospitalized (10.4 ± 2.1) d, drainage time (2.5 ± 1.0) d. Conclusion Drilling irrigation drainage for the treatment of elderly CSDH, good safety, simple operation, and reliable curative effect.