Minimally invasive treatment of chronic subdural hematoma Experience.doc

 PAGE \* MERGEFORMAT 5 Minimally invasive treatment of chronic subdural hematoma Experience [Abstract] chronic subdural hematoma more common in the elderly, have a history of trauma, but no obvious history of trauma for individual patients, more than one month to one year after injury after the onset of symptoms to hospital, diagnosed by brain CT, hematoma larger . the traditional treatment method for drilling into the skull tube drainage. our hospital since 2007 with YL-I type of intracranial hematoma puncture needle, mounted on a gun-type drill, puncture hematoma drainage, treatment of cases, 30 cases have achieved good effect . The procedure is simple, time-saving, security, economic and other characteristics of the subjects can be carried out within the disposal room for foundation hospitals. [Keywords:] minimally invasive treatment of chronic subdural hematoma Experience 1 Materials and Methods 1.1 General information from May 2007 to December 2009, our hospital patients, 30 patients with chronic subdural hematoma YL-I type of surgical treatment of intracranial hematoma puncture needle. M: 28, female: 2 cases , age 25-81 years, mean age 53 years, of which 4 cases were bilateral hematoma, and the remaining 26 cases were unilateral, 30 cases of clinical headache, 2 patients had signs of nerve localization. were incomplete hemiplegia showed all the cases were head by head CT or MRI diagnosis. 1.2 treatment of a small amount of sedatives given before surgery and spit suppression drugs, or 2.5cm by 2.0cm two models of the YL-I type of intracranial hematoma puncture needle installed in the gun-type drill, select the level of CT is shown at the hematoma into the thickest needle .2% lidocaine local anesthesia, no incision scalp, directly through the scalp, rapid penetration into the skull and subdural hematoma cavity, then the needle side holes in drainage tubes exit the needle core, tighten the plastic cap, Withdrawing with a 20ml syringe,