摘要
慢性硬膜下血肿确诊后有临床症状者原则上都应尽早手术治疗,颅骨钻孔免冲洗引流术和YL-1型血肿粉碎针微创清除术具有突出优势,应被广泛推广于基层。神经内镜技术是未来治疗慢性硬膜下血肿的趋势,应该大力发展。尽管手术治疗方式多样,但是术后常常发生大部分血肿被清除而脑组织不能完全复位,存在术后血肿复发以及再次手术治疗等问题,成为临床治疗中急于解决的难题。中医药结合外科手术治疗对这一问题的解决具有明显的优势,可进一步提高临床疗效,因此应成为今后的研究重点,对于指导临床治疗具有重要的意义。
The patients with chronic subdural haematoma（ CSDH） should receive surgery as soon as possible if they are diagnosed with the related symptoms. Skull drilling without washing and drainage and YL-1 hematoma smash-pin micro-debridement have outstanding advantages,and are widely used in clinical practice. Endoscopic techniques are the future trends in treatment of chronic subdural hematoma,and should develop extensively. Although there are various ways of surgeries,after the operation the following problems need solving as quickly as possible. For example,much of hematoma has been removed,but brain tissue cannot fully reset leading to recurrence of hematoma and even another surgery. TCM in combination with surgery has obvious advantages for the solution of this problem in further improving clinical curative effect,and should become the focus of future research,which is of important significance for clinical treatment.
出处
《河南中医》
2016年第2期365-367,共3页
Henan Traditional Chinese Medicine
关键词
慢性硬膜下血肿
辨证施治
中西医结合治疗
开颅手术
钻孔引流手术
微创清除术
chronic subdural haematoma（CSDH）
therapy with syndrome differentiation
combined therapy of traditional Chinese and Western medicine
craniotomy
burr hole drainage surgery
minimally invasive surgery
