- 期刊
- OpenAccess
Burr Hole Craniostomy and Closed System Drainage for Selected Cases of Subacute Subdural Hematoma
鑽顱術及密閉式引流系統對亞急性硬腦膜下出血選擇性案例的治療
摘要
慢性硬腦膜下血腫可以用鑽顱術及密閉式引流系統作成功的治療，因此，假設鑽顱術及密閉式引流系統，也可以有效的治療發生在頭部外傷後三天至三星期間出現的亞急性硬腦膜下血腫。從1993年6月到1995年6月，三總神經外科統計，總共有9個出現亞急性硬腦膜下血腫症狀的病人，平均出現症狀的時間約在頭部外傷後第8天，這些病人都是男性，年齡從25-71歲，平均年齡為57歲，在腦部電腦斷層診斷出亞急性硬腦膜下血腫後，這些病人全部都接受鑽顱術及密閉式引流系統治療，手術結果相當成功，而且沒有併發症產生，平均住院天數為8.9天，整個治療結果與過去手術的結果比較起來，成功的降低了此類病人手術傷害率並縮短了住院天數。
並列摘要
Chronic subdural dermatome can be successfully treated with twist drill craniotomy (TDC) and closed system drainage (CSD). Accordingly, it was hypothesized that burr hole craniotomy (BHC) and CSD could be applied for effectively treating on some selective cases of sub acute subdural hematoma (SSH) which occurred during the time interval of 3 days to 3 weeks after a head trauma. From June 1993 to June 1995, we had encountered 9 patients who had symptomatic sub acute subdural hematomas with a mean time interval of 8.6 days after head traumas. These patients were all male, aged from 25 to 71 with a mean of 57 years. The score of GCS ranged from 6 to 15 with a mean of 12.8 at admission. After sub acute subdural hematomas were verified by CT scanning, these patients were all treated with BHC and CSD. The mean time for draining ranged from 2 to 5 days with a mean of 3.1 days, and the GCS score improved to 14-15. There was no remarkable complication. The average hospital days were 8.9 days. An overall decrease in both the modify rate and the length of hospitalization in BHC and CSD treatment group when compared to the open craniotomy and medical treatment were noted. There was also no recurrence in BCH+CSD treatment group in a follow-up period from 6 to 18 months. In conclusion, BHC and CSD is one of the options for treating SSH.
延伸閱讀
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