【摘要】 目的 探讨硬膜下腔-腹腔分流术治疗外伤性硬膜下积液的疗效。方法 在积液最厚处作头皮切口，长3cm，颅骨钻孔，切开硬膜，硬膜下积液处内置2～3cm分流管，将腹腔分流管远端裂隙部分剪去，通过皮下隧道置入腹腔。结果 术后临床症状均明显缓解，术后7天复查头颅CT，积液均有不同程度的缩小，随访6个月，再次复查头颅CT，硬膜下积液消失者27例，硬膜下积液明显缩小者5例。结论 硬膜下腔-腹腔分流术治疗外伤性硬膜下积液，手术安全可靠，简单易行，效果良好。

    【关键词】 硬膜下积液；分流；手术

    【Abstract】 Objective To evaluate the effect of subdural-peritoneal shunt for traumatic subdural effusion.Methods Make a 3cm long cut at the head skin which above the effusion,drill a hole on head bone,cut dura,place a 2～3cm long tube into subdural effusion,cut off crack part of shunting tube,put shunting tube into abdominal cavity through the subskin tunnel.Results The symptoms decreased markedly after operation.CT check on 7 th day after operation,the effusion became smaller.After half a year followed-up,subdural effusion totally disappeared in 27 cases,became markedly smaller in 5 cases.Conclusion Subdural-peritoneal shunt for traumatic subdural effusion is safe,easy to perform and effective.

    【Key words】 subdural effusion;shunting;operation

    自2000年3月～2004年11月 ......