CAJ | 학술논문

目的：探讨骨瓣成形术清除迟发性骑跨横窦巨大硬膜外血肿的临床效果。方法对11例迟发性骑跨横窦巨大硬膜外血肿，采用枕部倒“U”切口骨瓣成形清除血肿的手术方法。结果术前幕上血肿约40～120 ml，幕下血肿约10～15 ml左右。骑跨横窦巨大硬膜外血肿均被清除彻底，且止血可靠，骨瓣复位稳定。结论与传统手术方式相比，骨瓣成形术清除骑跨横窦的硬膜外血肿具有进颅迅速、直视止血、不留颅骨缺损等优点。
목적：탐토골판성형술청제지발성기과횡두거대경막외혈종적림상효과。방법대11례지발성기과횡두거대경막외혈종，채용침부도“U”절구골판성형청제혈종적수술방법。결과술전막상혈종약40～120 ml，막하혈종약10～15 ml좌우。기과횡두거대경막외혈종균피청제철저，차지혈가고，골판복위은정。결론여전통수술방식상비，골판성형술청제기과횡두적경막외혈종구유진로신속、직시지혈、불류로골결손등우점。
Objective To explore the clinical effect of tardive enormous epidural hemaomas stradding transverse sinus with cranioplasty .Methods The clinical data of 11 patients with tardive epidural hematoma stradding transverse sinus,who were treated in our department were analyzed retrospectively .Cleaning up the hematomas by transoccipital craniotomy through reverse U incision was performed .Results The volume of supratentorial hematoma was 40~120 ml,and of infratentorial hemotoma was 10~15 ml before opration .A postoperative CT scan demonstrated complete resolution of the epidural hematoma ,safety hemostasis,stable replacement of bone flap .Conclusions The tardive epidural hematomas stradding transverse sinus can be rapidly and smoothly evacuated by cranioplasty ,which is easier and no cranial bone defect ane stop bleeding more completely in comparison with traditional oprative method .