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目的:观察微创斜向锥孔钻颅置管引流冲洗术治疗老年慢性硬膜下血肿疗效。方法:对2012年5月-2014年5月间收治的22例老年慢性硬膜下血肿患者,采用头颅CT定位,选患者平躺时血肿腔水平最低点斜向血肿中心最厚方向行微创斜向锥孔钻颅置管冲洗引流治疗,并分析其临床疗效,并发症发生率,和手术方法的改进进行分析。结果 :随访6个月,所有患者均治愈,无一例血肿复发,无癫痫,无感染,无脑组织损伤等并发症。结论 :微创斜向锥孔钻颅置管引流冲洗术治疗老年性慢性硬膜下血肿较传统钻孔及锥颅治疗更安全、有效,该疗法操作简单,细针穿刺创伤小,不受年龄及重要脏器功能限制,局麻下完成,可以减轻患者痛苦,节省医疗费用,且斜向锥孔钻颅较垂直锥孔钻颅更能有效避免损失脑组织及利于血肿的冲洗引流。
OBJECTIVE: To observe the curative effect of craniotomy drainage tube flushing in the treatment of elderly patients with chronic subdural hematoma. Methods: Twenty-two elderly patients with chronic subdural hematomas who were admitted to our hospital from May 2012 to May 2014 underwent cranial computed tomography (CT). We selected patients with minimally invasive hematoma at the lowest level in the hematoma at the center of the hematoma. Oblique cone drilling cranial catheter flushing drainage treatment, and analysis of its clinical efficacy, the incidence of complications, and surgical methods to improve the analysis. Results: All the patients were cured at 6 months follow-up. None of the patients had recurrent hematoma, no epilepsy, no infection and no complications of brain injury. Conclusion: The minimally invasive oblique conical drilling cranial catheter drainage flushing treatment of senile chronic subdural hematoma than traditional drilling and cranial cranial treatment more safe and effective, the operation is simple, fine needle puncture trauma, regardless of age And functional limitations of important organs, completed under local anesthesia, can reduce the suffering of patients and save medical costs, and the oblique cone drilled cranial cranial skull than vertical cone more effective in preventing loss of brain tissue and conducive to hematoma flush drainage.