CAJ | 학술논문

目的：探讨颅脑创伤开颅术后纵裂分离型硬膜下积液产生的原因、诊断和治疗。方法对18例颅脑创伤开颅术后发生纵裂分离型硬膜下积液的患者进行回顾性分析。结果纵裂分离型硬膜下积液患者通过高压氧、锥颅外引流术、Ommaya囊或腰大池置管引流、积液-腹腔分流术等治疗能取得满意疗效。结论纵裂分离型硬膜下积液属于硬膜下积液的一种特殊类型。利用影像学手段能明确对其作出诊断，通过一系列治疗能取得良好的治疗效果。
목적：탐토로뇌창상개로술후종렬분리형경막하적액산생적원인、진단화치료。방법대18례로뇌창상개로술후발생종렬분리형경막하적액적환자진행회고성분석。결과종렬분리형경막하적액환자통과고압양、추로외인류술、Ommaya낭혹요대지치관인류、적액-복강분류술등치료능취득만의료효。결론종렬분리형경막하적액속우경막하적액적일충특수류형。이용영상학수단능명학대기작출진단，통과일계렬치료능취득량호적치료효과。
Objective To explore the etiology ,diagnosis and treatment of separate interhemispheric subdural effusion after craniotomy in traumatic brain injury. Methods 18 cases of patients with separate interhemispheric subdural effusion after cra-niotomy were retrospectively studied. Results separate interhemispheric subdural effusion were cured by high-pressure oxy-gen ,cone extracranial drainage ,Ommaya sac or lumbar catheter drainage ,fluid-peritoneal shunt and other treatments. Con-clusion separate interhemispheric subdural effusion is one special type of subdural effusion.It can be diagnosed conveniently by the means of imaging ,and can be effectively cured by a series of treatment.