CAJ | 학술논문

目的：探讨慢性硬膜下血肿钻单孔置双管外引流术的疗效。方法回顾性分析我院2011年6月～2014年3月收治69例慢性硬膜下血肿患者行钻单孔置双管引流手术治疗后的情况。结果58例临床症状体征消失，11例改善，无症状加重及死亡病例。经术后1～7天复查CT提示，69例血肿均大部份减少或基本消失，10例并发颅内血肿腔少量积气、积液，随访3个月全部恢复，无复发病例。结论慢性硬膜下血肿选择钻单孔置双管外引流效果良好，并发症较少。
목적：탐토만성경막하혈종찬단공치쌍관외인류술적료효。방법회고성분석아원2011년6월～2014년3월수치69례만성경막하혈종환자행찬단공치쌍관인류수술치료후적정황。결과58례림상증상체정소실，11례개선，무증상가중급사망병례。경술후1～7천복사CT제시，69례혈종균대부빈감소혹기본소실，10례병발로내혈종강소량적기、적액，수방3개월전부회복，무복발병례。결론만성경막하혈종선택찬단공치쌍관외인류효과량호，병발증교소。
Objective To report the experience in treating chronic subdural hematoma by burr hole craniostomy and drainage. Methods A retrospective data from June 2011 to March 2014 in 69 cases with chronic subdural hematoma patients were analyzed. All 69 cases were treated by drilling single hole or two-tube drainage. Results Clinical symptoms and signs disappeared in 58 of 69 cases, and were improved in 11 cases. No death was reported. CT imagine showed the hematoma was reduced obviously or even disappeared after two-tube drainage for 1-7 days. Ten cases complicated with intracranial hematoma cavity pneumatosis and a small amount of effusion and recovered in 3 months of followed-up. No recurrence was found. Conclusion By single-hole drilling and two-tube drainage for treating chronic subdural hematoma , the patients can get clinical effect well and less complications.