CAJ | 학술논문

目的：探讨机化型慢性硬膜下血肿的手术治疗策略。方法回顾性分析8例机化型慢性硬膜下血肿的影像学特点及手术处理方法。结果8例均行成形骨瓣开颅血肿清除加包膜切除术，其中直接开颅手术2例，其余6例均是在钻孔探查发现为机化型慢性硬膜下血肿后改为骨瓣开颅血肿清除术，均痊愈出院，随访1~12个月，均无复发。结论所有机化型慢性硬膜下血肿均应行开颅手术治疗，术中采取的处理策略是影响预后的关键因素。
목적：탐토궤화형만성경막하혈종적수술치료책략。방법회고성분석8례궤화형만성경막하혈종적영상학특점급수술처리방법。결과8례균행성형골판개로혈종청제가포막절제술，기중직접개로수술2례，기여6례균시재찬공탐사발현위궤화형만성경막하혈종후개위골판개로혈종청제술，균전유출원，수방1~12개월，균무복발。결론소유궤화형만성경막하혈종균응행개로수술치료，술중채취적처리책략시영향예후적관건인소。
Objective To investigate the surgery treatment strategy of organized chronic subdural hematoma. Methods The radio-logical features and operative factors of organized chronic subdural hematoma were retrospectively analyzed in eight patients. Results All 8 patients were treated by clearance of hematoma by craniotomy with bone flap plus capsule resection. Two patients were treated by directly cra-niotomy. When found to be organized chronic subdural hematoma by exploratory trephination, the other six cases were changed to hematoma evacuation by craniotomy with bone flap. All patients were successfully treated, and no recurrence was noted up 1 to 12 months. Conclusion All organized chronic subdural hematoma should undergo craniotomy surgery, and the treatment strategy during operation is the key factor for affecting the prognosis.