摘要
目的探讨外伤性硬膜下积液的治疗方法。方法对247例诊断明确、资料完整的外伤性硬膜下积液患者,依患者病史、头颅CT特点及有无动态变化分为消退型(A组,138例)、稳定型(B组,73例)、进展型(C组,36例)三组,并对各组患者的治疗结果进行总结、分析。结果A组采取保守治疗效果好,治愈率达92%;B组84%选择非手术治疗,90%治愈,其他好转,16%患者采用体外引流,75%患者治愈,其他好转;C组经保守治疗疗效欠佳,所有患者先行体外引流术,53%患者获得治愈,17%患者好转,另外30%患者需行硬膜下腔-腹腔引流术。结论不同类型的外伤性硬膜下积液的治疗方法和预后各不相同,临床治疗策略也应不同。
Objective To explore the types and therapy of traumatic subdural hydroma（TSH）. Methods Two hundred and forty-seven cases of TSH were classified into three types .. regressive type （group A, n = 138）, stable form （group B, n = 73） and advanced type （group C,n = 36） on the basis of their clinical characteristics and dynamic observation of CT scanning. The therapeutic results of three types were analyzed. Results The patients in group A had good prognoses using the conservative therapy and the cure rate was 92%, Among the stable form about 84% patients were treated by conservative therapy and the cure rate was 90%, other patients were treated with external drainage and about 75 % patients were cured, 25 % patients were improved. The patients with advanced type can not obtained well consequence treated with conservative therapy and then all patients treated with external drainage, about 53% patients were cured and the others were treated with cavum subdural-peritoneal shunt. Conclusion The clinical characteristics, treatment methods and prognoses varied with different types of TSH.
出处
《华中医学杂志》
2007年第5期381-382,共2页
Central China Medical Journal
