[1]胡 琳,姚 源,谢明国,等.慢性硬膜下血肿影像学多形性表现及临床诊治[J].医学信息,2018,31(14):167-168,171.[doi:10.3969/j.issn.1006-1959.2018.14.052]
　HU Lin,YAO Yuan,XIE Ming-guo,et al.Imaging Features and Clinical Diagnosis and Treatment of Chronic Subdural Haematoma[J].Journal of Medical Information,2018,31(14):167-168,171.[doi:10.3969/j.issn.1006-1959.2018.14.052]
点击复制

慢性硬膜下血肿影像学多形性表现及临床诊治()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年14期
页码:
167-168,171
栏目:
诊疗技术
出版日期:
2018-07-15

文章信息/Info

Title:
Imaging Features and Clinical Diagnosis and Treatment of Chronic Subdural Haematoma
文章编号:
1006-1959（2018）14-0167-03
作者:
胡 琳1; 姚 源2; 谢明国1; 李 莉1
成都中医药大学附属医院放射科1，神经外科2，四川 成都 610072
Author(s):
HU Lin1; YAO Yuan2; XIE Ming-guo1; LI Li1
Department of Radiology1,Department of Neurosurgery2,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,Sichuan,China
关键词:
慢性硬膜下血肿; 影像学表现; 钻孔引流术
Keywords:
Key words:Chronic subdural haematoma; Imaging findings; Drilling drainage
分类号:
R651.1+5
DOI:
10.3969/j.issn.1006-1959.2018.14.052
文献标志码:
B
摘要:
目的 探讨慢性硬膜下血肿的临床特征、多形性影像学表现与手术结果。 方法　对2014年1月~2017年12月我院收治的经过头部CT扫描证实的CSDH共78例，对患者的临床特征、影像学表现及手术结果进行分析。结果　经手术治疗治愈73 例（93.59%），术后血肿量减少，中线结构复位明显，术后1月后复发5 例（6.41%）。结论 钻孔引流术治疗慢性硬膜下血肿安全、简单、疗效满意，CT扫描及CT增强扫描和MRI检查综合术前评估采用不同术式能提高手术质量。
Abstract:
Abstract：Objective To investigate the clinical features, pleomorphic imaging findings and surgical results of chronic subdural haematoma.Methods From January 2014 to December 2017,78 cases of CSDH confirmed by CT scan of head were treated in our hospital.The clinical features,imaging findings and surgical results were analyzed.Results 73 cases(93.59%)were cured by operation, the amount of haematoma decreased,the midline structure is obviously reset and 5 cases(6.41%)recurred one month after operation. Conclusion Drilling and drainage in the treatment of chronic subdural haematoma is safe and simple,and the curative effect is satisfactory.CT scan,CT enhanced scan and MRI combined with preoperative evaluation can improve the operation quality.

参考文献/References:

[1]王忠诚.王忠诚神经外科学[M].第2版.武汉:湖北科学技术出版社,2015：409-411. [2]Yadav YR,Parihar V,Chourasia ID,et al.The role of subgaleal suctiondrain placement in chronic subdural hematoma evacuation[J].Asian J Neurosurg,2016,11(3):214-218. [3]Belkhair S,Pickett G.One versus double burr holes for treating chronic subdural hematoma meta-analysis[J].Canadian Journal of Neurological Sciences,2013,40(1):56-60. [4]De BP,Trevisi G,De WC,et al.Antiplatelet anticoagulant agents and chronic subdural hematoma in the elderly[J].PLoS One,2013,8(7):e68732. [5]肖爵贤,沈亚徐,余建荣,等.2种改良术式治疗慢性硬膜下血肿的临床疗效分析[J].中华神经医学杂志,2017,16(6):611-615. [6]邢鸣,魏民,柴伟,等.慢性硬膜下血肿钻孔引流术后复发的危险因素分析[J].临床神经外科杂志,2017,14(6):472-474.

相似文献/References:

[1]冯月荣,万嘉欣.不同体位护理干预对慢性硬膜下血肿患者并发症及复发率的影响[J].医学信息,2022,35(15):183.[doi:10.3969/j.issn.1006-1959.2022.15.044]
　FENG Yue-rong,WAN Jia-xin.Effect of Different Posture Nursing Intervention on Complications and Recurrence Rate of Patients with Chronic Subdural Hematoma[J].Journal of Medical Information,2022,35(14):183.[doi:10.3969/j.issn.1006-1959.2022.15.044]
[2]尹 胜,汪 洋,董永飞,等.中青年患者轻度颅脑损伤后形成慢性硬膜下血肿的危险因素[J].医学信息,2020,33(09):62.[doi:10.3969/j.issn.1006-1959.2020.09.019]
　YIN Sheng,WANG Yang,DONG Yong-fei,et al.Risk Factors for the Formation of Chronic Subdural Hematoma in Young and Middle-aged Patients with Mild Head Injury[J].Journal of Medical Information,2020,33(14):62.[doi:10.3969/j.issn.1006-1959.2020.09.019]
[3]邓星星.彩色多普勒超声和MSCTA在主动脉夹层中的影像学表现及分型检出情况[J].医学信息,2020,33(12):160.[doi:10.3969/j.issn.1006-1959.2020.12.052]
　DENG Xing-xing.Color Doppler Ultrasonography and MSCTA Imaging Findings and Type Detection in Aortic Dissection[J].Journal of Medical Information,2020,33(14):160.[doi:10.3969/j.issn.1006-1959.2020.12.052]
[4]樊梦思,赵 红,余业洲,等.发热伴血小板减少综合征临床及影像表现分析[J].医学信息,2020,33(14):174.[doi:10.3969/j.issn.1006-1959.2020.14.058]
　FAN Meng-si,ZHAO Hong,YU Ye-zhou,et al.Analysis of Clinical and Imaging Manifestations of Fever with Thrombocytopenia Syndrome[J].Journal of Medical Information,2020,33(14):174.[doi:10.3969/j.issn.1006-1959.2020.14.058]
[5]江慎林,余辉兴,彭 宏,等.磁共振成像在肛瘘脓肿疾病中的影像学表现及诊断价值分析[J].医学信息,2021,34(24):169.[doi:10.3969/j.issn.1006-1959.2021.24.045]
　JIANG Shen-lin,YU Hui-xing,PENG Hong,et al.The Imaging Manifestations and Diagnostic Value of Magnetic Resonance Imaging in Anal Fistula and Abscess Diseases[J].Journal of Medical Information,2021,34(14):169.[doi:10.3969/j.issn.1006-1959.2021.24.045]
[6]谢国平.单、双钻孔引流在慢性硬膜下血肿中的临床效果及对预后和复发的影响[J].医学信息,2023,36(20):145.[doi:10.3969/j.issn.1006-1959.2023.20.029]
　XIE Guo-ping.Clinical Effect of Single and Double Trepanation Drainage in Chronic Subdural Hematoma and its Effect on Prognosis and Recurrence[J].Journal of Medical Information,2023,36(14):145.[doi:10.3969/j.issn.1006-1959.2023.20.029]
[7]范东庭.阿托伐他汀钙改善慢性硬膜下血肿出血量及神经功能的价值[J].医学信息,2024,37(17):93.[doi:10.3969/j.issn.1006-1959.2024.17.018]
　FAN Dong-ting.Value of Atorvastatin Calcium in Improving the Amount of Bleedingand Neurological Function of Chronic Subdural Hematoma[J].Journal of Medical Information,2024,37(14):93.[doi:10.3969/j.issn.1006-1959.2024.17.018]

更新日期/Last Update: 2018-07-15