期刊论文

Treating Chronic Subdural Hematoma （CSDH） of Senility Patients With the Drainage Technique of the Single Big-diameter Hole With a Fissured Tube

中文

中南医学科学杂志

2095-1116

2006

34

1

63-65,68

10.3969/j.issn.2095-1116.2006.01.020

本校为第一机构

目的探讨单孔大孔径钻孔加裂隙管冲洗引流治疗高龄患者慢性硬膜下血肿的疗效.方法采用单孔大孔径（1.0～1.2 cm）在血肿最厚处钻孔,于普通14号硅胶引流管头上作裂隙孔处理代替原管行血肿腔冲洗,明胶海绵封闭骨孔;与传统锥颅钻孔及钻孔冲洗术的术后并发症发生率比较.结果改良组与钻孔冲洗组气颅、血肿残留发生率、血肿残留量、气颅积气量差异均无显著性（P〉0.05）;改良组及钻孔冲洗组气颅、血肿残留发生率低于锥颅置管组（χ^2分别为4.02、5.59,P〈0.05）,且血肿残留量及气颅积气量也较锥颅置管组少（t值分别为2.46、2.98,P〈0.05）.改良组与锥颅置管组癫痫发生率及脑内血肿发生率差异无显著性,...

Objective To explore the curative effect of the drainage technique of the single big - diameter hole with a fissured drainage tube in treating CSDH of senility patients. Methods A single big - diameter hole （1.0- 1.2 cm） was drilled at the thickest part of hematoma and a common silica gel drainage tube （No： 14） with cranny at one end was used instead of the traditional method to irrigate the hematoma cavity. The isinglass sponge was used to seal the hole. Then the curative effect and the incidence rates of complication after the treatment ...