目的探讨慢性硬膜下血肿钻孔引流手术方法及安全性和可靠性。方法回顾性分析我院行慢性硬膜下血肿钻孔引流手术20例患者临床资料,总结手术方法及治疗体会。结果 20例患者共穿刺26部位次,无死亡病例,术后引流管留置时间2~4天,平均3天,复查头颅CT,硬膜下血肿全部清除16例,硬膜下腔残留少量硬膜下积液3例,1例发生脑脊液引流症状,经予抬高引流管高度后患者无不适症状予以拔除,未发生张力性气颅、颅内血肿、颅内感染、癫痫发作等并发症,术后随访3个月无血肿复发病例。结论论钻孔引流手术切口较小,损伤较小,手术时间短,感染的机会小,达到微侵袭效果,患者花费少,恢复快而好,值得在临床工作中推广应用。 Objective To explore the method and safety and reliability of drilling and drainage for chronic subdural hematoma. Methods The clinical data of 20 patients undergoing chronic drainage and drainage of chronic subdural hematoma in our hospital were retrospectively analyzed. The surgical methods and treatment experience were summarized. Results Twenty patients were punctured a total of 26 times with no deaths. The postoperative drainage catheter was placed for 2-4 days with an average of 3 days. All the skull CT and subdural hematoma were removed in 16 cases. 3 cases of effusion, 1 case of cerebrospinal fluid drainage symptoms, after elevated drainage tube height without discomfort symptoms were removed, no tension pneumothorax, intracranial hematoma, intracranial infection, seizures and other complications, surgery Follow-up 3 months without recurrence of hematoma cases. Conclusions On the small hole drilling less injury, less damage, shorter operative time, the chance of infection is small, to achieve the effect of micro-invasion, patients spend less, fast and good recovery, it is worth to promote the clinical application.