Therapeutic efficacy of modified drain-pipe enhancing the effect of drainage in chronic subdural hematoma

VernacularTitle:改良引流途径提高慢性硬膜下血肿钻孔引流术的治疗效果
Author: Aijun ZHANG ; Xin CHEN
Publication Type:Journal Article
Keywords: Chronic Subdural Haematoma(cSDH); Drainage; Pneumocephalus; Brain Injury; Recurrent Hematoma
From: The Journal of Practical Medicine 2015;(19):3176-3178
CountryChina
Language:Chinese
Abstract: Objective To study the effect of different draining way in the surgical treatment of chronic subdural haematoma (CSDH). Methods 126 patients with CSDH diagnosed by CT scanning or MRI were enrolled. The burr-hole was made at the site of the maximal hematoma thickness. A drainage tube was placed towards either the occipital (group A) or frontal ( group B) region as far as possible respectively, and for the latter, a lateral aperture was made about 2 cm far from the burr-hole on the side of the tube. The surgical complication (such as pneumocephalus, brain injury and recurrent hematoma et al.) and therapeutic efficacy of the two treatments were compared and analyzed to evaluate an optimal surgical technique. Results After treatment, complication rate in group A is 30%, the occurrence of complications in group B rate is 2% (P <0.05); operation time and hospitalization time in group B was significantly shorter than that in group A (P <0.05). Conclusion In the surgical treatment of CSDH, improved drainage pathway is safe and effective, which could improve the treatment efficacy and is worthy of clinical promotion.