CAJ | 학술논문

目的:评估硬膜悬吊与硬膜外引流在开颅手术中预防硬膜外血肿的意义.方法:对2009年1至7月在中南大学湘雅医院神经外科就诊的145例颅内病变患者,行开颅手术进行治疗.采用硬膜悬吊与硬膜外引流两种技术预防硬膜外血肿.结果:术后计算机X射线断层扫描(CT)复查所有病例均未发现有需外科处理之硬膜外血肿.结论:无论是硬膜悬吊还是硬膜外引流对于预防开颅手术硬膜外血肿都有积极作用,但手术区彻底有效的止血才是预防的关键.硬膜悬吊不放置硬膜外引流可以减轻患者的心理压力,有利于尽早开展术后康复,避免了拔管损伤,同时降低了术后颅内感染的风险.
목적:평고경막현조여경막외인류재개로수술중예방경막외혈종적의의.방법:대2009년1지7월재중남대학상아의원신경외과취진적145례로내병변환자,행개로수술진행치료.채용경막현조여경막외인류량충기술예방경막외혈종.결과:술후계산궤X사선단층소묘(CT)복사소유병례균미발현유수외과처리지경막외혈종.결론:무론시경막현조환시경막외인류대우예방개로수술경막외혈종도유적겁작용,단수술구철저유효적지혈재시예방적관건.경막현조불방치경막외인류가이감경환자적심리압력,유리우진조개전술후강복,피면료발관손상,동시강저료술후로내감염적풍험.
Objective To evaluate the efficacy of dural tenting suture and epidural drainage in craniotomy. Methods In 145 cases of intracranial lesions, dural tenting suture and epidural drainage were performed to prevent epidural hematoma. Results Postoperative computed tomography (CT) showed no epidural hematoma required surgery in both groups. Conclusion Both dural tenting suture and epidural drainage are effective in preventing epidural hematoma. Hemostasis is the key step. Dural tenting suture without epidural drainage relieves psychological stress. It decreases the risk of intracranial infection and avoids some unusual complications.