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
- 2018.1
- 수록면
- 99 - 104 (6page)
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초록· 키워드
오류제보하기
Objective: This retrospective study was conducted to investigate the relationship between the superior sagittal sinus (SSS)to bone flap distance and clinical outcome in patients with traumatic brain injury (TBI) who underwent decompressivecraniectomy (DC). Methods: A retrospective review of medical records identifed 255 adult patients who underwent DC with hematoma removal to treat TBI at our hospital from 2016 through 2017; of these, 68 patients met the inclusion criteria and underwentunilateral DC. The nearest SSS to bone flap distances were measured on postoperative brain computed tomography images, and patients were divided into groups A (distance ≥20 mm) and B (distance ＜20 mm). The estimated blood loss (EBL)and operation time were evaluated using anesthesia records, and the time spent in an intensive care unit (ICU) was obtainedby chart review. The clinical outcome was rated using the extended Glasgow Outcome Scale (GOS-E) at 3 and 6 monthspostoperatively. Results: The male to female ratio was 15:2 and the mean subject age was 55.12 years (range, 18-79 years). The mean EBLand operation times were signifcantly different between groups A and B (EBL: 655.26 vs. 1803.33 mL, p＜0.001; operationtime: 125.92 vs. 144.83 min, p＜0.001). The time spent in the ICU and GOS-E scores did not differ signifcantly betweenthe groups. Conclusion: We recommend that when DC is indicated due to TBI, an SSS to bone flap distance of at least 20 mm should bemaintained, considering the EBL, operation time, and other outcomes.
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