外伤性硬膜下积液121例临床分析

摘要

目的：探讨外伤性硬膜下积液的治疗方法。方法选择外伤性硬膜下积液患者121例，其中保守治疗90例，手术治疗43例，其中单侧钻孔引流32例，双侧钻孔引流11例，单侧硬膜下腔-腹腔分流1例。结果保守治疗90例中57例积液消失，21例积液减少；6例积液增加，其中2例积液无明显变化，4例伤后1～2个月形成慢性硬膜下血肿，以上12例改行钻孔引流术，术后治愈。入院后即手术治疗31例中30例一次治愈，1例术后复发，改行硬膜下腔-腹腔分流后治愈。结论多数轻症TSH 患者经保守治疗好转或治愈；保守治疗效果不佳者采用钻孔外引流术治疗效果较佳。%Objective To analyze the treatment method of the traumatic subdural effusion patients.Methods 121 traumat-ic subdural effusion cases were chosen,43 cases surgical treatment,32 cases unilateral,11 cases double side hole drainage,1 case unilateral subdural-peritoneal shunt.Results 90 patients were treated with expectant treatment after hospital treatment, 5 7 cases of effusion disappeared,2 1 patients'effusion reduced;6 cases of effusion increased,2 cases of effusion have no obvious change,and 4 cases develop into chronic subdural hematoma after 1-2 month.The 1 2 patients have been changed into drilling drainage treatment,and they were cured.31 patients were taken operation treatment,and 30 cases were cured,1 cases of re-currence.The patients were cured by subdural-peritoneal shunt.Conclusion Most TSH patients treated with conservative treat-ment are cured and become better.For the patients who haven't become better after the conservative treatment,it will be better if adopt drilling drainage treatment.