小穿孔开颅骨膜下引流治疗慢性硬膜下血肿新技术及临床研究

IF 0.3 Q4 SURGERY
Deniz Şirinoğlu, Buse Sarigul, M. V. Aydın
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引用次数: 1

摘要

摘要目的慢性硬膜下血肿(cSDH)是老年人常见病,预后良好。治疗的主要选择是手术。随着许多手术技术被描述为cSDH的疏散,我们提出了一种新的手术方法的初步结果,小穿孔开颅与骨膜下引流。材料与方法本研究纳入了在CT扫描中观察到cSDH厚度>10 mm并伴有实质压迫和/或中线移位的患者。记录年龄、性别、主诉、神经系统状况、病史及CT表现。所有患者均行小穿孔开颅术。骨膜下引流术。术后随访3个月。结果本研究纳入了2020年12月至2021年5月在Cemil Tascioglu市医院住院的10例cSDH患者。平均年龄为64.3±6.272岁,最常见的入院主诉为头痛。术后1例患者因双重抗凝治疗出现术后急性再出血。随访3个月,无再出血、硬膜下或硬膜外积液、伤口感染或美容问题。结论小穿孔开颅骨膜下引流可作为cSDH引流术的一种替代方法,特别是当怀疑血肿是分离的情况下,其并发症发生率较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mini-Perforated Craniotomy with Subperiosteal Drain for Evacuation of Chronic Subdural Hematoma: A New Technique and Clinical Study
Abstract Purpose  Chronic subdural hematoma (cSDH) is a frequent disease of the elderly with favorable outcomes. The main choice of treatment is surgery. Along with many surgical techniques described for evacuation of cSDH, we are presenting the preliminary outcomes of a novel surgical method, mini-perforated craniotomy with a subperiosteal drain. Materials and Methods  Patients in whom cSDH with thickness of >10 mm was observed in computed tomography (CT) scans with parenchymal compression and/or midline shift were included in this study. Age, sex, complaint, neurological status, and medical history were recorded along with CT findings. Mini-perforated craniotomy was performed on all patients. A subperiosteal drain was used. The postoperative follow-up period was 3 months. Results  Ten cSDH patients who were admitted to Prof. Dr. Cemil Tascioglu City Hospital between December 2020 and May 2021 were included in this study. The mean age was 64.3 ± 6.272, and the most common admission complaint was a headache. Postoperatively, one patient showed acute rebleeding after the operation due to dual anticoagulant therapy. Besides, in 3 months follow-up, rebleeding, subdural or epidural effusion, wound infection, or cosmetic problems were not observed. Conclusion  Mini-perforated craniotomy with a subperiosteal drain may be an alternative method for evacuation of cSDH with low complication rates especially when the hematoma is suspected to be septated.
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
52
审稿时长
12 weeks
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