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首页> 美国卫生研究院文献>other >Use of Subdural Evacuating Port System Following Open Craniotomy with Excision of Native Dura and Membranes for Management of Chronic Subdural Hematoma
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Use of Subdural Evacuating Port System Following Open Craniotomy with Excision of Native Dura and Membranes for Management of Chronic Subdural Hematoma

机译：开颅手术切开硬脑膜和硬膜后开颅手术后硬膜下排空端口系统在治疗慢性硬膜下血肿中的应用

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摘要

An 86-year-old woman was admitted to the intensive care unit with a chronic subdural hematoma (CSDH) and rapid onset of worsening neurological symptoms. She was taken to the operating room for a mini-craniotomy for evacuation of the CSDH including excision of the dura and CSDH membrane. Postoperatively, a subdural evacuation port system (SEPS) was integrated into the craniotomy site and left in place rather than a traditional subdural catheter drain to evacuate the subdural space postoperatively. The patient had a good recovery and improvement of symptoms after evacuation and remained clinically well after the SEPS was removed. We offer the technique of dura and CSDH membrane excision plus SEPS drain as an effective postoperative alternative to the standard craniotomy leaving the native dura intact with traditional subdural drain that overlies the cortical surface of the brain in treating patients with CSDH.
机译：一名86岁妇女因重度慢性硬脑膜下血肿（CSDH）入院，并迅速发作神经症状加重。她被带到手术室进行微型颅骨切开术，以抽出CSDH，包括切除硬脑膜和CSDH膜。术后，将硬膜下排空端口系统（SEPS）集成到开颅手术部位并留在原处，而不是传统的硬膜下导管引流术以在术后撤离硬膜下腔。撤离后患者恢复良好，症状得到改善，SEPS移除后在临床上保持良好状态。我们提供硬脑膜和CSDH膜切除术以及SEPS引流术作为标准颅骨切开术的一种有效的术后替代方法，使自然硬脑膜与传统硬脑膜硬膜下引流管完好无损，而传统的硬脑膜下引流管覆盖了大脑皮层表面，可治疗CSDH患者。

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