CAJ | 학술논문

目的：探讨自制可卷曲透明工作通道在导航指引下内镜血肿清除术中的应用价值。方法回顾性分析2014年期间22例内镜颅内血肿清除术的临床资料，其中基底节出血15例，脑皮层出血5例，额叶挫伤伴血肿形成2例，利用自制可卷曲内镜工作通道在导航指引下完成手术。结果手术耗时65～100 min ，平均95 min。残余血肿体积＜10％12例，10％～30％8例，＞30％1例。术后并发肺部感染5例，颅内感染死亡1例。存活患者6个月随访GOS评分：恢复良好7例，轻度残疾9例，重度残疾3例，植物生存2例。结论自制可卷曲内镜工作通道可以配合神经导航进行准确穿刺，并为内镜提供一个清晰、稳定的操作空间。
목적：탐토자제가권곡투명공작통도재도항지인하내경혈종청제술중적응용개치。방법회고성분석2014년기간22례내경로내혈종청제술적림상자료，기중기저절출혈15례，뇌피층출혈5례，액협좌상반혈종형성2례，이용자제가권곡내경공작통도재도항지인하완성수술。결과수술모시65～100 min ，평균95 min。잔여혈종체적＜10％12례，10％～30％8례，＞30％1례。술후병발폐부감염5례，로내감염사망1례。존활환자6개월수방GOS평분：회복량호7례，경도잔질9례，중도잔질3례，식물생존2례。결론자제가권곡내경공작통도가이배합신경도항진행준학천자，병위내경제공일개청석、은정적조작공간。
Objective To explore the application of the self‐made flexible endoscopic working passage to the endoscopic e‐vacuation of hematoma under navigation guidance.Methods Clinical data of 22 cases of endoscopic evacuation of intracranial he‐matoma during 2014 were analyzed retrospectively.There were 15 cases of basal ganglia hemorrhage ,5 cases of cerebral hemor‐rhage ,and 2 cases of frontal lobe contusion with hematoma formation.Self‐made flexible endoscopic work passage under the navigation guidance was used in all the cases to complete the operation.Results The operation time lasted 65-100 min ,with an average of 95 min.The residual hematoma volume was less than 10% in 12 cases ,10% -30% in 8 cases ,and more than 30% in 1 case.Postoperative pulmonary infection occurred in 5 cases ,and death due to intracranial infection in 1 case.The surviving pa‐tients were followed up for 6 months.According to the GOS score ,7 patients recovered well ,9 had mild disability ,3 had severe disability ,and 2 suffered vegetative state.Conclusion The self‐made flexible endoscopic working passage under nerve naviga‐tion facilitates accurate puncture ,and it provides a clear and stable operation space for the endoscope.