CAJ | 학술논문

目的探讨乳突后入路锁孔手术的护理经验,提高手术疗效,减少手术相关并发症.方法回顾性分析100例乳突后入路锁孔手术病例的手术护理配合情况.结果利用锁孔技术,采用小切口和小骨窗,对桥小脑角区病变的显露满意,手术配合恰当,手术用时缩短,出血明显减少.术后无脑脊液耳漏或皮漏、颅内感染、血肿或皮下积液.结论良好的手术体位和手术配合能充分地利用有效的操作空间,手术过程顺利,效果良好.
목적 탐토유돌후입로쇄공수술적호리경험,제고수술료효,감소수술상관병발증.방법 회고성분석100례유돌후입로쇄공수술병례적수술호리배합정황.결과 이용쇄공기술,채용소절구화소골창,대교소뇌각구병변적현로만의,수술배합흡당,수술용시축단,출혈명현감소.술후무뇌척액이루혹피루、로내감염、혈종혹피하적액.결론 량호적수술체위화수술배합능충분지이용유효적조작공간,수술과정순리,효과량호.
Objective To summarize the experience of intraoperative care for the patients undergoing microsurgery via retrosigmoid keyhole approach, so as to improve the treatment effect and minimize complications. Method The clinical records on the intraoperative care of 100 patients undergoing microsurgery via retrosigmoid keyhole approach were retrospectively analyzed. Result Using the keyhole technique and small incision, the cerebellopontine angle lesions were exposed clearly. Moreover, the proper intraoperational cooperation shortened the duration of operation, reduced bleeding and minimized postoperative complications such as cerebrospinal fluid otorrhea, intracranial infection, intracranial hemorrhage, and subcutaneous hydrops. Conclusion Proper operational postures and intraoperative cooperation can make full use of the limited space of the microsurgery via retrosigmoid keyhole approach and ensure the success of the operation.