小儿硬膜下积液的外科治疗

Surgical treatment of subdural effusion in children

摘要: 目的: 探讨提高小儿硬膜下积液外科治疗疗效的方法。方法: 回顾性分析我科1990年1月~2004年1月收治小儿硬膜下积液42例,手术36例,其中16例行反复硬膜下穿刺,12例行持续硬膜下引流,4例行积液囊腔-腹腔分流手术,4例行开颅清除积液切除囊壁。结果: 16例反复硬脑膜下穿刺者10例痊愈,4例好转,2例无效;12例持续硬脑膜下引流者7例痊愈,3例好转,2例无效;4例积液囊腔-腹腔分流术者均痊愈;4例开颅清除积液切除囊壁者均痊愈。无死亡病例。结论: 小儿硬脑膜下积液的外科治疗应依据不同病情采取相应的治疗措施才能取得满意疗效。

Abstract: Objective: To improve the surgical result in treatment of subdural effusion in children.Methods: The clinical data of 42 patients with subdural effusion from Jan.1990 to Jan.2004 were analyzed retrospectively,36 of whom received surgical treatment.Repeated tapping was performed in 16 cases,persistent drainage in 12 cases,drainage followed by craniotomy in 4 cases and drainage followed by shunt in 4 cases.Results: Among the 36 cases,25 cases were cured,7 cases were improved and 4 cases failed to respond.Conclusions: The choice of treatment depends on the difference of subdural effusion in children.