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目的探讨馒性硬脑膜下血肿新术式的治疗效果．方法４２例慢性硬脑膜下血肿患者，根据血肿量的不同．于血肿侧钻１～２个孔，扩大骨窗至２．５ｃｍｘ２．５８ｃｍ，尽可能把术野中血肿的内膜层撕破、去除之，使脑脊液和血肿腔相沟通。结果采用改良式手术治疗４２例病人引流３ｄ，ＣＴ复查，１９例血肿完全消失（４５．２％），２３例血肿腔明显缩小（５４．８％）．结论颅骨钻孔扩大骨窗加血肿内膜剥脱法治疗慢性硬膜下血肿，疗效优于传统疗法．
Objective To investigate the therapeutic effect of new surgical treatment of dural subdural hematoma. Methods 42 patients with chronic subdural hematoma, according to the amount of different hematoma. Hematoma lateral drilling 1 to 2 holes to expand the bone window to 2.5cmx2.58cm, as far as possible intraoperative hematoma intima tear, remove, so that cerebrospinal fluid and hematoma cavity communication. Results Forty-two patients underwent modified surgery for drainage of 3d and CT. 19 cases of hematoma completely disappeared (45.2%) and 23 cases of hematoma significantly reduced (54.8%). Conclusion Skull drilling to expand the bone window plus hematoma and endometrial stripping method for the treatment of chronic subdural hematoma, the effect is better than the traditional therapy.