Rapid pore cranial drilling and ventricular drainage treatment in ventricular hemorrhage: a clinical analysis of 3571 cases
10.3760/cma.j.issn.1671-8925.2011.07.021
- VernacularTitle:快速细孔钻颅脑室置管引流术治疗脑室出血3571例临床分析
- Author:
Lin WEI
1
;
Gang LI
;
Peng JIN
;
Cheng-Wei WANG
;
Chang FEI
;
Dao-Kui WANG
;
Bao-An WANG
;
Dong-Fang XU
;
Shu-Mao PAN
;
Chang-Ming XIN
;
Guang-Cun LIU
;
Ji-Hua WANG
;
Ji-Hai DU
;
Bo XIE
;
Qing-Lin ZHANG
Author Information
1. 山东大学附属千佛山医院
- Keywords:
Cerebral hemorrahage;
Cerebral vertricle;
Rapid pore cranial drilling;
Ventricular hemorrhage;
Ventricular drainage
- From:
Chinese Journal of Neuromedicine
2011;10(7):731-734
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical effects and experiences of rapid pore cranial drilling and ventricular drainage treatment on ventricular hemorrhage to evaluate the performance of rapid pore cranial drilling. Methods The clinical data of 3571 patients with ventricular hemorrhage performed the rapid pore cranial drilling and ventricular drainage treatment from 13 hospitals of Shandong province since 1977 were retrospectively analyzed and concluded; these data were compared with those in patients received traditional Dandy's device. Results In these 3571 patients, the cure rate was 27.1%, the improvement rate was 49.1%, and the death rate was 23.8%. Rapid pore drilling needed no scalp incision, no suction, no coagulation, or no special lighting, only needed puncturing the scalp, drilling through the cranium and dura matter, implanting drainage tube and stitching it up; one can manage it in about 5 minutes at bedside; while the traditional Dandy's drilling occupied 3 people in the operating room, needed more than 20 procedures, and plus the time transporting the patient, it needed at least 60 minutes or more to finfish the procedures. Rapid pore cranial drill device is superior to Dandy's cranial drill device in operating procedures, technical performance, operation conditions, personnel and time-consuming. Conclusion Rapid pore cranial drilling greatly simplifies the operating procedures, saves precious time for the seriously ill patients, reduces the mortality and improves the effectiveness of the treatment. After 35 years of clinical practice, to those patients seriously ill needed ventricular drainage treatment to rescue their lives, rapid pore cranial drilling is superior to traditional Dandy's drill technic, and is an effective method treating such diseases.
