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目的:探讨纤维胆道镜在颅内血肿治疗中的临床价值及手术适应证。方法:选择经颅脑 CT 证实颅内血肿病人30例,采用 Olympus SHF T20型纤维胆道镜,在局麻下小骨窗开颅血肿清除,术后部分患者用 T 型管引流。结果:全部病例均一次手术成功,无手术死亡及严重并发症发生,平均住院11天。结论:纤维胆道镜对外伤性亚急性硬膜外、慢性硬膜下血肿、亚急性脑内血肿清除有良好的效果。有较大临床应用价值。
Objective: To investigate the clinical value and surgical indication of fibrocholedochoscope in the treatment of intracranial hematoma. Methods: Thirty patients with intracranial hematoma confirmed by brain CT scan were selected. Olympus SHF T20 type choledochofiberscope was used to remove craniotomy in small bone window under local anesthesia. T - tube drainage was performed in some patients after operation. Results: All cases were successful in one operation. No operative death and serious complications occurred. The average hospitalization was 11 days. CONCLUSION: Fibrococcygoscopy has a good effect on traumatic subacute epidural, chronic subdural hematoma and subacute intracerebral hematoma. Have greater clinical value.