지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 1,091 - 1,097 (7page)
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초록· 키워드
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Purpose: To assess the therapeutic value of two different drainage catheters in treating chronic subdural hematoma (CSDH). Materials and Methods: Two types of drainage catheters can be used to treat CSDH according to the position of holes in the catheter: open-type or closed-type catheter. In this retrospective study, 199 total patients with CSDH were reviewed according to catheter type. Among them, 84 patients were and 113 in the closed-type group (holes positioned within the distal-most 1 cm of the catheter). The surgeon selected the catheter type. Total drainage volume, initial drainage volume within 2 days, percentage of initial drainage volume per total drainage volume, duration of catheter insertion, and reoperation rate were compared. Results: Total drainage volume was not different between the two groups (p=0.333). The initial drainage volume within 2 days was larger in the open-type group than closed-type group (p=0.024), but the percentage of initial drainage volume per total drainage volume was not different (p=0.354). The duration of catheter insertion was shorter in the open-type group than closed-type group (p=0.015). The reoperation rate of CSDH was also higher in the open-type group than closed-type group (p=0.004). Conclusion: CSDH drainage with an open-type catheter is faster compared with a closed-type catheter, but total drainage volume is similar and reoperation rate is higher. Therefore, the open-type catheter for CSDH drainage has limited clinical value.
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참고문헌 (24)
참고문헌 신청
Arbit E / 1981 / An implantable subdural drain for treatment of chronic subdural hematoma / Surg Neurol 15 : 175 ~ 177
Aung TH / 1999 / Management of chronic subdural haematoma: burr hole drainage, replacement with Hartmann’s solution, and closed-system drainage / Hong Kong Med J 5 : 383 ~ 3
Benzel EC / 1994 / The single burr hole technique for the evacuation of non-acute subdural hematomas / J Trauma 36 : 190 ~ 194
Camel M / 1986 / Treatment of chronic subdural hematoma by twist-drill craniotomy with continuous catheter drainage / J Neurosurg 65 : 183 ~ 187
Cameron MM / 1978 / Chronic subdural haematoma: a review of 114 cases / J Neurol Neurosurg Psychiatry 41 : 834 ~ 839
Aung TH / 1999 / Management of chronic subdural haematoma: burr hole drainage, replacement with Hartmann’s solution, and closed-system drainage / Hong Kong Med J 5 : 383 ~ 3
Benzel EC / 1994 / The single burr hole technique for the evacuation of non-acute subdural hematomas / J Trauma 36 : 190 ~ 194
Camel M / 1986 / Treatment of chronic subdural hematoma by twist-drill craniotomy with continuous catheter drainage / J Neurosurg 65 : 183 ~ 187
Cameron MM / 1978 / Chronic subdural haematoma: a review of 114 cases / J Neurol Neurosurg Psychiatry 41 : 834 ~ 839
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