CAJ | 학술논문

目的探讨微创钻孔置管尿激酶溶血治疗硬膜外血肿的临床疗效. 方法回顾性分析晋城心脑血管病医院神经外科自2005年6月至2011年9月采用微创钻孔置管尿激酶溶血治疗的31例颅内硬膜外血肿患者的临床资料[约占同期颅内硬膜外血肿手术(155例)的20％],分析总结其手术特点、适应证、禁忌证及并发症的防治. 结果 31例患者均获满意治愈,GOS评分均为5分,无死亡病例.术后3d内血肿排除干净24例,术后4～5 d血肿排除干净7例. 结论微创钻孔置管尿激酶溶血是一种创伤小、手术简单的硬膜外血肿治疗方法,但应掌握好适应证.
목적 탐토미창찬공치관뇨격매용혈치료경막외혈종적림상료효. 방법 회고성분석진성심뇌혈관병의원신경외과자2005년6월지2011년9월채용미창찬공치관뇨격매용혈치료적31례로내경막외혈종환자적림상자료[약점동기로내경막외혈종수술(155례)적20％],분석총결기수술특점、괄응증、금기증급병발증적방치. 결과 31례환자균획만의치유,GOS평분균위5분,무사망병례.술후3d내혈종배제간정24례,술후4～5 d혈종배제간정7례. 결론 미창찬공치관뇨격매용혈시일충창상소、수술간단적경막외혈종치료방법,단응장악호괄응증.
Objective To explore the clinical effect of burr-hole and hemolysis with urokinase on patents with epidural hematomas. Methods We retrospectively analyzed the clinical data of 31patients with epidural hematomas,admitted to our hospital from June 2005 to September 2011 and treated by burr-hole and hemolysis with urokinase; and the characteristics and indications of this operation,prevention of its complications were summarized. Results All the 31 patients got satisfied results;their mean GOS scores were 5,and no clinical mortality and mobility was noted.Most of hematoms were discharged within 3 days in 24 patients; the rests of the hematomas were removed in 4-5 days in another 7patients. Conclusion Burr-hole and hemolysis with urokinase is a simple,effective and minimally invasive operation in the treatment of epidural hematomas, but the operative indications should be carefully selected.