CAJ | 학술논문

目的：探讨颅骨钻孔引流术治疗慢性硬膜下血肿的临床疗效及应用价值。方法回顾性分析48例慢性硬膜下血肿行颅骨钻孔引流术的临床病例资料，手术疗效及随访结果。结果48例患者均行颅骨钻孔引流术，患者颅内压增高、脑受压症状、体征均12小时内明显好转，无一例死亡，未发生颅内继发出血、脑损伤及中枢神经系统感染等并发症。术后随访一年，复发1例。结论颅骨钻孔引流术治疗慢性硬膜下血肿效果肯定，是一种理想安全的手术方式，适于广泛推广应用。
목적：탐토로골찬공인류술치료만성경막하혈종적림상료효급응용개치。방법회고성분석48례만성경막하혈종행로골찬공인류술적림상병례자료，수술료효급수방결과。결과48례환자균행로골찬공인류술，환자로내압증고、뇌수압증상、체정균12소시내명현호전，무일례사망，미발생로내계발출혈、뇌손상급중추신경계통감염등병발증。술후수방일년，복발1례。결론로골찬공인류술치료만성경막하혈종효과긍정，시일충이상안전적수술방식，괄우엄범추엄응용。
Objective To investigate the skul dril ingdrainage in treating chronic subdural hematoma of theclinical effect and application value. Methods a retrospective analysis of 48 cases of chronic subdural hematoma drainage of skul dril ing cases, curative effectand fol ow-up results of operation. Results 48 patientsunderwent cranial trepanation and drainage, intracranial pressure, cerebral compression symptoms, signs werewithin 12 hours were significantly improved, no deaths, nointracranial hemorrhage, brain injury and intracranial infection. One year fol ow-up, 1 cases of recurrence.Conclusion skul trepanation and drainage for chronic subdural hematoma is an ideal curative effect, safeoperation, and is suitable for wide popularization andapplication.