CAJ | 학술논문

目的：探讨内窥镜技术在慢性硬膜下血肿（ CSDH）手术治疗中的价值。方法2008年1月～2012年12月，87例CSDH病人随机分为两组；内窥镜下冲洗引流组（ n＝42）和传统钻孔冲洗引流组（ n＝45），比较两组手术效果及术后并发症发生率。结果两组病例手术总有效率无显著差异，但两组恢复至Bender 0级的比率分别为80．0％和95．2％（P＜0．05）。传统手术组血肿复发9例（20．0％），内窥镜组血肿复发2例（5％），两组间术后血肿复发率有显著差异（P＜0．05）。结论内窥镜下手术治疗CSDH，效果好，降低了术后血肿复发率。
목적：탐토내규경기술재만성경막하혈종（ CSDH）수술치료중적개치。방법2008년1월～2012년12월，87례CSDH병인수궤분위량조；내규경하충세인류조（ n＝42）화전통찬공충세인류조（ n＝45），비교량조수술효과급술후병발증발생솔。결과량조병례수술총유효솔무현저차이，단량조회복지Bender 0급적비솔분별위80．0％화95．2％（P＜0．05）。전통수술조혈종복발9례（20．0％），내규경조혈종복발2례（5％），량조간술후혈종복발솔유현저차이（P＜0．05）。결론내규경하수술치료CSDH，효과호，강저료술후혈종복발솔。
Objective To explore the effects of the surgical treatment for chronic subdural hematoma ( CSDH ) under endoscope .Methods 87 patients with CSDH was divided into two groups .In one group of 42 patients , irrigation and drainage operation for CSDH was performed under endoscope through a burr hole approach .In another group of 45 patient as the control group , traditional irrigation and drainage operation for CSDH was performed without endoscope .Results There was no significant difference of total therapeutic efficacy in both groups .But in the group with and without endoscope , the rate of patients recovering to Bender scale 0 was 95.2% and 80.0%respectively (P<0.05).The number of postoperative hematoma recurrence was 2 cases(5%) and 9 cases (20.0%) respectively ( P<0.05) .Conclusion The operation for CSDH under endoscope can improve the therapeutic efficacy and decrease the recurrence rate .