Shiomi Naoto, Shigemori Minoru
Department of Neurosurgery, Kurume University School of Medicine, Kurume-city, Fukuoka, Japan.
No Shinkei Geka. 2005 Aug;33(8):785-8.
The surgical procedures for treating chronic subdural hematoma (CSH) are carried out with a variety of different methods. The generally used operative method is a less invasive burr hole irrigation under local anesthesia. Recently, we have devised a new simple method using an endoscope to treat CSH. We have been using an endoscopically guided method in which a drainage tube is inserted in the hematoma cavity. We also analyzed the endoscopic findings in the hematoma cavities and reported a high recurrence rate in patients with clots in the hematoma cavity, which suggest the importance of clot removal to reduce recurrence. In this study, the advantage of endoscopic surgery for chronic subdural hematoma is demonstrated.
治疗慢性硬膜下血肿（CSH）的手术方法多种多样。常用的手术方法是在局部麻醉下进行微创钻孔冲洗。最近，我们设计了一种使用内窥镜治疗CSH的新的简单方法。我们一直在使用一种在内窥镜引导下将引流管插入血肿腔的方法。我们还分析了血肿腔内的内窥镜检查结果，并报告了血肿腔内有血凝块的患者复发率较高，这表明清除血凝块对降低复发率的重要性。在本研究中，证明了内窥镜手术治疗慢性硬膜下血肿的优势。
