原著
慢性硬膜下血腫に対するアートセレブ®脳脊髄手術用洗浄環流液による洗浄術の臨床的検討
2011 年 34 巻 2 号 p. 167-171
詳細
2011 年 34 巻 2 号 p. 167-171
Chronic subdural hematoma is thought to be an easily treatable disease. However, its recurrence rate is approximately 10%, and such cases require re-operation. We compared the recurrance rate of chronic subdural hematoma with irrigation using either saline or the artificial cerebrospinal fluid Artcereb®.
Cases: We divided the patients into 2 groups. A total of 60 patients in the normal saline group (hematoma, n=58; bilateral hematoma, n=2) underwent irrigation with saline between March 2007 and July 2009. A total of 61 patients in the Artcereb group (hematoma, n=54; bilateral hematoma, n=7) underwent irrigation using Artcereb® between August 2009 and May 2011.
Methods: We performed irrigation via 1 burr hole with 500 – 1000 ml of either normal saline or Artcereb® under local anesthesia and observed until recurrence or disappearance of the hematomas on CT scan. We researched the recurrence rate of the hematomas.
Results: Recurrence of the hematomas were observed in 8 cases (13%) in the normal saline group and 5 cases (8.2%) in the Artcereb group. No statistically significant differences were observed. Among those patients who did not receive anticoagulants, the recurrence rate was 6/54 (11%) in the normal saline group and 1/49 (2.0%) in the Artcereb group (p<0.10).
Conclusion: Our study showed the posibility that the postoperative recurrence rate of chronic subdural hematoma was lower using Artcereb® than saline for irrigation.
