CAJ | 학술논문

目的探讨微创手术方法治疗颅脑外伤行开颅术后矢状窦,横窦附近迟发性血肿的患者手术效果及远期疗效。方法选取本院2002年4月至2013年6月收治的颅脑外伤行开颅术后矢状窦,横窦附近迟发性血肿患者48例作为观察组,取1998年1月至2002年3月收治的开颅术后矢状窦,横窦附近迟发性血肿患者29例患者中26例行二次开颅手术患者为对照组。比较两组患者的手术效果及远期疗效。结果观察组患者的术后显效及总有效率(60.42%,95.83%)及远期疗效(78.76%)均显著高于对照组(34.62%,76.92%,42.31%),差异均有统计学意义(P<0.05)。29例中的3例保守治疗患者死于脑疝。结论颅脑外伤患者颅内血肿清除术后迟发硬膜外血肿,选择硬通道微创颅内血肿清除术的预后明显优于开颅手术。
목적탐토미창수술방법치료로뇌외상행개로술후시상두,횡두부근지발성혈종적환자수술효과급원기료효。방법선취본원2002년4월지2013년6월수치적로뇌외상행개로술후시상두,횡두부근지발성혈종환자48례작위관찰조,취1998년1월지2002년3월수치적개로술후시상두,횡두부근지발성혈종환자29례환자중26례행이차개로수술환자위대조조。비교량조환자적수술효과급원기료효。결과관찰조환자적술후현효급총유효솔(60.42%,95.83%)급원기료효(78.76%)균현저고우대조조(34.62%,76.92%,42.31%),차이균유통계학의의(P<0.05)。29례중적3례보수치료환자사우뇌산。결론로뇌외상환자로내혈종청제술후지발경막외혈종,선택경통도미창로내혈종청제술적예후명현우우개로수술。
Obj ective]To explore the outcome and long-term efficacy of minimally invasive operation for the treatment of patients with delayed hematoma near to sagittal sinus and transverse sinus after craniotomy.[Methods]A total of 48 patients with delayed hematoma near to sagittal sinus and transverse sinus after crani-otomy for craniocerebral trauma in our hospital from April 2002 to June 2013 were selected as observation group.Among 29 patients with delayed hematoma near to sagittal sinus and transverse sinus after craniotomy from Jan.1998 to March 2013,29 patients underwent second craniotomy,and 3 patients received expectant treatment.Surgical outcome and long-term efficacy of two groups were compared.[Results]The excellence rate,total effective rate and short-term efficacy in observation group were 60.42%,95.83% and 78.76%, which were obviously higher than those in control group(34.62%,76.92% and 42.31%),and there were sig-nificant differences(P<0.05).Three patients treated by conservative therapy died of cerebral hernia.[Con-clusion]Hard-tunnel minimally invasive evacuation of intracranial hematoma for the treatment of delayed epi-dural hematoma after evacuation of traumatic intracranial hematoma has better prognosis than craniotomy.