Minimally invasive closed irrigation drainage in the treatment of chronic and subacute subdural hematoma in 62 cases.doc

 PAGE \* MERGEFORMAT 8 Minimally invasive closed irrigation drainage in the treatment of chronic and subacute subdural hematoma in 62 cases Keywords:: chronic and subacute subdural hematoma; Minimally invasive surgery; washing; drainage [Abstract] Objective To observe the minimally invasive treatment of the efficacy of subdural hematoma. Methods YL-1 single-use of intracranial hematoma puncture needle and the hematoma with closed irrigation and drainage. Results of 62 cases were successful, no intracranial hematoma, intracranial infection, acute brain swelling tension pneumocephalus, and complications such as epilepsy. Conclusion Minimally invasive treatment of chronic and subacute subdural hematoma safe, reliable, method is easy. [Keywords:] chronic and subacute subdural hematoma; Minimally invasive surgery; washing; drainage I Bureau since October 1998 ~ October 2006 treated 62 cases of chronic and subacute subdural hematoma in patients, using minimally invasive treatment method to obtain good results. Are summarized as follows. 1 Data and methods 1.1 General information on this group a total of 62 cases, male 45 cases, female 17 cases, aged 40 to 90 years old, with an average 66.5 years old, has a clear history of trauma 50 cases, 12 cases of unknown etiology, trauma, car accident victims were clear in 4 cases, head smashed or damaged in 4 cases, the rest were falls. 1.2 clinical headache, dizziness, head to rip 50 cases, 14 cases of psychiatric symptoms, urinary incontinence in 4 cases, disturbance of consciousness (mostly drowsiness) 10 cases, 20 cases of varying degrees of hemiplegia. The event occurred 12 days to 4 months (1 case of ipsilateral recurrence of 28 days after surgery) in 52 cases and the remaining 10 cases within 3 weeks. 1.3 image data all patients were confirmed by CT or MRI, two have been inspected in 2 cases, unilateral subdural effusion in 54 patients, and both were 8 patients, CT showed the skull plate in a crescent or pair