Comparison of frontoparietal drill versus parietal drill in burring hole and drainage for chronic subdural hematoma
10.11659/jjssx.03E017074
- VernacularTitle:额顶部与顶部钻孔治疗慢性硬膜下血肿的疗效分析
- Author:
Chengjun LUO
;
Honggang WU
;
Ao ZHAN
;
Shan WANG
;
Tinggang WANG
- Keywords:
subdural haematoma;
drilling location;
neurologic function;
residual hematoma volume;
recurrence rate
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(9):679-681
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of frontoparietal drill versus parietal drill in the burring hole and drainage for chronic subdural hematoma(CSDH),and provide an evidence for clinical application.Methods A total of 82 patients with CSDH from January 2013 to January 2016 in our hospital were randomly divided into observation group and control group.The observation group chose frontoparietal drill which located at the front 1/4 point at the axial view with the thickest hematoma.Control group chose parietal drill which nearby the parietal tuberodties at the axial view with the thickest hematoma.The postoperative residual hematoma volume,intracranial gas volume,recurrence rate,neurologic function and mental state between two groups were compared.Results The postoperative residual hematoma volume,intracranial gas volume,the recurrence rate and CSS were lower compared with the control group,the differences were significant(P<0.05).The MMSE score of observation group were higher that of the control group,the difference was significant(P<0.05).Conclusion The frontoparietal drill has a better effect to remove the hematoma and promotes neural functional recovery.
