CAJ | 학술논문

目的：探讨微骨瓣额中回入路在重型脑室出血中的应用价值。方法回顾性分析21例微骨瓣额中回入路治疗重型脑室出血的临床资料。结果术后脑室内外血肿清除满意，改善了GCS评分、脑室积血Graeb评分。主要并发症：弥漫性脑肿胀1例，脑血管痉挛3例，颅内感染1例，肺部感染7例。随访1~6个月，按ADL分级恢复良好5例，中度残疾9例，重度残疾3例，植物生存1例，死亡3例。结论微骨瓣经额中回入路可有效清除脑室内外血肿，及时解除梗阻性脑积水，减轻继发性脑损害，改善患者的预后。
목적：탐토미골판액중회입로재중형뇌실출혈중적응용개치。방법회고성분석21례미골판액중회입로치료중형뇌실출혈적림상자료。결과술후뇌실내외혈종청제만의，개선료GCS평분、뇌실적혈Graeb평분。주요병발증：미만성뇌종창1례，뇌혈관경련3례，로내감염1례，폐부감염7례。수방1~6개월，안ADL분급회복량호5례，중도잔질9례，중도잔질3례，식물생존1례，사망3례。결론미골판경액중회입로가유효청제뇌실내외혈종，급시해제경조성뇌적수，감경계발성뇌손해，개선환자적예후。
Objective To evaluate the clinical value of midfrontal keyhole approach for the treatment of severe intra-ventricular hematoma. Methods The clinical data of 21 cases of severe intraventricular hemorrhage through midfrontal key-hole approach were analyzed retrospectively. Results Both inside and outside intraventricular hematoma were satisfied cleared. The GCS score and intraventricular hemorrhage Graeb score were improved. There were complications after opera-tion including 1 patient with diffuse brain swelling, 3 patients with cerebral vasospasm, 1 patient with intracranial infection, and seven patients with pulmonary infection. Follow-up schedules included 1-6 months. According to ADL score, 5 patients recovered well, 9 patients were moderately disabled, 3 were severely disabled, 1 was in a vegetative state and 3 died. Conclu-sion The intraventricular hematoma can be removed through midfrontal keyhole approach. The obstructive hydrocephalus can be relieved, the secondary brain damage was reduced and the prognosis was improved in patients.