CAJ | 학술논문

目的：评估微创与钻孔引流术在老年性BCSDH患者中的临床应用价值。方法回顾性分析48例老年性BCSDH患者资料，所有患者均行双侧微创与钻孔血肿引流术，通过长期随访分析其临床应用价值。结果所有患者手术均顺利完成，其中有3例患者切口处有少许渗血，经压迫后止血。伤口愈合瘢痕较小，临床症状均有不同程度改善，术后72 h复查头颅CT示硬膜下血肿清除较为干净，随访4个月～7年，随访仅见4例复发，再次入院行钻孔引流术后治愈，未再复发。结论微创与钻孔引流术治疗老年人BCSDH安全有效，是首选治疗方法。
목적：평고미창여찬공인류술재노년성BCSDH환자중적림상응용개치。방법회고성분석48례노년성BCSDH환자자료，소유환자균행쌍측미창여찬공혈종인류술，통과장기수방분석기림상응용개치。결과소유환자수술균순리완성，기중유3례환자절구처유소허삼혈，경압박후지혈。상구유합반흔교소，림상증상균유불동정도개선，술후72 h복사두로CT시경막하혈종청제교위간정，수방4개월～7년，수방부견4례복발，재차입원행찬공인류술후치유，미재복발。결론미창여찬공인류술치료노년인BCSDH안전유효，시수선치료방법。
Objective To investigate and evaluate the clinical value of trepanation and drainage in bilateral chronic subdural hematoma aged patients. Methods Chose 48 bilateral chronic subdural hematoma aged patients received trepanation and drainage for objects of study, and analyzed the clinical data of these patients. Results The procedure was successful in all 48 patients and no death was related to the procedure. Only 4 patients recurred after operations. Conclusion Trepanation and drainage possesses high application value in BCSDH aged patients, due to its slight injury, high success rate and low complication.