Application of lateral postion in BHID of chronic subdural haematoma
10.3760/cma.j.issn.1008-6706.2016.15.030
- VernacularTitle:侧卧位在慢性硬膜下血肿钻孔引流术术中的应用
- Author:
Xuyuan DING
;
Zhongqi QIAN
;
Bo GAO
;
Shulin WANG
;
Hua DENG
;
Jie SHEN
;
Fengen LI
- Publication Type:Journal Article
- Keywords:
Subdural hematoma;
Drilling and drainage;
Lateral position
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(15):2347-2349
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare different incidence between lateral position and horizontal position in the Burr holes irrigation drainage(BHID).The BHID is wildly known as the most frequently used neurosurgical treatment of chronic subdural hematoma(CSDH).Methods A total of 80 cases were selected which were undergone BHID during January 2010 and December 2015,and the incidence of intracranial pneumatocele was compared after operation.All of cases came from the Second People′s Hospital of Tai Zhou City.Results There were 5 cases(out of 50,10%)having moderate intracranial pneumocephalus but no numerous intracranial pneumocephalus in lateral position,while 26 cases(out of 30 cases,87%)in horizontal position emerging moderate amount or more intracranial pneumatocele.And there were 8 cases'numerous pneumatocele in the horizontal postion group.There was no tension pneumothorax emerging in both groups.Both groups had statistical difference (χ2 =46.43,P <0.01.Conclusion BHID in lateral postion is a simple and effective method for CSDH,and it is conducive to reduce postoperative intracranial pneumatosis.That is worthy of application and promotion.
