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目的:运用颅骨钻孔微创手术治疗急性和亚急性硬膜外血肿的分析总结。方法:本组17例亚急性硬膜外血肿,在局部麻醉下头皮直切口并颅骨钻孔至血肿腔,用吸引器清除大部分血肿,留置硅胶引流管,并用2万U尿激酶注入后闭管,术后1h开始引流。结果:17例均治愈出院,拔管后再出血、感染、脑脊液漏情况。结论:运用颅骨钻孔微创手术治疗操作简单,侵袭性小,适用于无急性颅内压增高、硬膜外血肿较小的亚急性硬膜外血肿的治疗。
OBJECTIVE: To summarize the analysis of minimally invasive craniotomy for acute and sub-acute epidural hematomas. Methods: The group of 17 cases of subacute epidural hematoma, scalp under local anesthesia straight incision and skull drilling to the hematoma cavity, with suction to remove most of the hematoma, indwelling silicone drainage tube, with 20,000 U of urokinase after injection Tube, 1h after surgery began to drain. Results: All the 17 cases were cured and discharged. After the extubation, hemorrhage, infection and cerebrospinal fluid leakage were also observed. Conclusion: The minimally invasive surgery with craniofacial drilling is simple and less invasive. It is suitable for the treatment of patients with subdural epidural hematoma without increased acute intracranial pressure and small epidural hematoma.