大家健康（中旬版）
大傢健康（中旬版）
대가건강（중순판）
GOOD HEALTH FOR ALL
2014年
2期
1-1,4
,共2页
慢性硬膜下血肿%手术
慢性硬膜下血腫%手術
만성경막하혈종%수술
chronic subdural hematoma%operation
本文主要探讨慢性硬膜下血肿。回顾分析泸州医学院2012～2013年98例手术患者的临床资料，颅骨钻孔冲洗引流73例，开颅骨瓣成型血肿清除12例，穿颅冲洗引流8例，神经内镜下手术5例。患者术后恢复均较好，临床症状均有不同程度改善，术后慢性硬膜下血肿复发4例，并发颅内出血1例，硬膜下积液3例，少量硬膜下积气2例。上诉4种术式均是治疗慢性硬膜下血肿的有效方案，临床上应综合考虑多种因素，采取个体化的治疗，颅骨钻孔引流仍是慢性硬膜下血肿最常用的手术方法。
本文主要探討慢性硬膜下血腫。迴顧分析瀘州醫學院2012～2013年98例手術患者的臨床資料，顱骨鑽孔遲洗引流73例，開顱骨瓣成型血腫清除12例，穿顱遲洗引流8例，神經內鏡下手術5例。患者術後恢複均較好，臨床癥狀均有不同程度改善，術後慢性硬膜下血腫複髮4例，併髮顱內齣血1例，硬膜下積液3例，少量硬膜下積氣2例。上訴4種術式均是治療慢性硬膜下血腫的有效方案，臨床上應綜閤攷慮多種因素，採取箇體化的治療，顱骨鑽孔引流仍是慢性硬膜下血腫最常用的手術方法。
본문주요탐토만성경막하혈종。회고분석로주의학원2012～2013년98례수술환자적림상자료，로골찬공충세인류73례，개로골판성형혈종청제12례，천로충세인류8례，신경내경하수술5례。환자술후회복균교호，림상증상균유불동정도개선，술후만성경막하혈종복발4례，병발로내출혈1례，경막하적액3례，소량경막하적기2례。상소4충술식균시치료만성경막하혈종적유효방안，림상상응종합고필다충인소，채취개체화적치료，로골찬공인류잉시만성경막하혈종최상용적수술방법。
To investigate the diagnosis and operation methods of chronic subdural hematoma choice ,enhance the curative effect .From 2002 to 2007 were analyzed retrospectively in 98 cases of operation in patients with clinical data ,skull drilling drainage in 73 cases ,craniotomy with bone flap mold-ing hematoma in 12 cases ,transcranial drainage in 8 cases ,endoscopic operation .5 cases were good recovery after surgery ,the clinical symptoms were improved to different degrees ,4 cases of chronic subdural recurrent hematoma ,1 cases complicated with intracranial hemorrhage ,3 cases of subdural effusion ,small subdural pneumatosis in 2 cases .The 4 methods are effective in treatment of chronic subdural hematoma ,clinical should take into consid-eration various factors ,adopt individualized treatment ,operation method is the most commonly used is the hematoma subdural drainage drilling skull .
