摘要目的 探讨不同手术方式治疗机化型慢性硬膜下血肿(CSDH)的手术效果.方法 回顾性分析茌平县人民医院收治的72例CSDH患者的临床资料,并根据其入院时间分为两组.对照组33例采用钻孔引流术,观察组39例采用骨瓣开颅血肿清除加包膜切除术,对比两组患者的临床疗效.结果 观察组患者的平均住院时间、患者总花费、术后3d复查CT血肿残留例数、术后癫痫发作例数、二次手术患者例数均显著低于对照组,差异有统计学意义(P＜0.05)；术后3个月观察组总治愈率显著优于对照组(P＜0.05).结论 机化型慢性硬膜下血肿的术前诊断尤为重要,有助于手术方式的选择,目前手术治疗以骨瓣开颅血肿清除加包膜切除术为主,手术效果满意.

abstractsObjective To investigate the clinical characters of different surgical treatment for organized chronic subdural haematoma(CSDH).Methods The clinical data of 72 patients with organized chronic subdural haematoma were analyzed retrospectively.Seventy-two patients were divided into two groups according to admission time,33 patients in control group were given drainage hole surgery,39 patients in observation group were given craniotomy hematoma removal and resection of capsule,and then the clinical efficacy of the two groups was compared.Results The average length of stay,total cost of patients,the number of residual hematoma cases after 3 days,the number of postoperative seizures,the number of secondary surgery of the observation group were significantly lower than those of the control group (P ＜ 0.05).The total cure rate of the observation group was significant higher than that of the control group (P ＜ 0.05).Conclusions Preoperative diagnosis of chronic organized subdural haematoma is particularly important,which is helpful to the choice of surgical method.At present,craniotomny subcapsular hematoma plus surgical resection is the preferred method and the effect is good.