目的：探讨可调压引流治疗颅内肿瘤切除术后并发远隔部位急性硬膜外血肿的疗效。方法回顾性分析12例颅脑肿瘤术后出现远隔部位急性硬膜外血肿病例的临床资料，均采用可调压引流系统治疗。结果11例在引流术后即刻复查头颅CT，残余血肿量均在35 ml以内；术后14 d血肿大部分清除。1例钻孔引流术后复查头颅CT提示：血肿较术前扩大，立即开颅清除血肿。随访3个月，12例病人均恢复良好，GOS评分均达5分。结论可调压引流系统应用于颅内肿瘤切除术后并发远隔部位急性硬膜外血肿，手术效果好，值得临床推广。%Objective To explore the effect of adjustable pressure-controlled drainage for the treatment of remote epidural hematoma after intracranial tumor resection. Methods Clinical data of 12 patients with remote epidural hematoma after intracranial tumor resection were analyzed retrospectively, who received the adjustable pressure-controlling drainage. Results The residual hematoma was within 35 ml in 11 patients based on CT immediately after drainage, and most hematomas were removed 14 d after drainage. The hematoma enlarged in 1 patient after drainage, and who received craniotomy for hematoma removal immediately. During a follow-up period of 3 months, 12 patients recovered well and achieved GOS 5 scores. Conclusion The adjustble pressure-controlled drainage is effective for remote acute epidural hematoma after intracranial tumor resection, and worthy of clinical promotion.
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