Clinical effect of closed burr hole drainage on patients with chronic subdural hematoma

doi:10.3877/cma.j.issn.2095-9141.2017.04.005

Abstract

Abstract:

Objective

To observe the clinical effect of closed burr hole drainage on patients with chronic subdural hematoma (CSDH).

Methods

Sixty-three CSDH patients treated in the 413rd Hospital of PLA from June 2012 to June 2016 was observed in this study. According to the operation method, patients were divided into two groups: the traditional burr hole group and the closed burr hole group. The curative effects and the operative complications were compared and analyzed.

Results

The curative effects were both satisfactory, and there was no significant different between the two groups (Z=1.685, P>0.05). The incidence of intracranial pneumatocele (χ²=4.893, P<0.05), brain injury (χ²=4.784, P<0.05) and leakage of cerebrospinal fluid (χ²=6.003, P<0.05) in the closed burr hole drainage group were significantly lower than those of traditional group. There were no significant difference of incidence of subdural fluid accumulation (χ²=0.001, P>0.05), epileptic seizure (χ²=0.000, P>0.05) and hematoma recurrence (χ²=0.001, P>0.05) between the two groups.

Conclusion

In treating CSDH, closed burr hole drainage is an ideal method which can significantly lower the operative complications and achieve good curative effect.

Key words: Chronic subdural hematoma, Closed burr hole drainage, Complication

Bingshi Yang, Zhijing Jiang, Xiaocheng Wang, Nanchang Huang. Clinical effect of closed burr hole drainage on patients with chronic subdural hematoma[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2017, 03(04): 210-213.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhsjcswkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-9141.2017.04.005

https://zhsjcswkdzzz.cma-cmc.com.cn/EN/Y2017/V03/I04/210

Figures/Tables 3

References 16

[1]	王忠诚.王忠诚神经外科学[M].武汉:湖北科学技术出版社, 2007: 261-262.
[2]	陈建良.慢性硬膜下血肿的某些进展[J].国外医学·神经病学神经外科学分册, 1987, 14(4): 182-185.
[3]	余永强，叶文珊，梁全,等.双管硬通道微创钻孔治疗慢性硬膜下血肿的疗效分析[J].中国现代医生, 2014, 52(17): 158-160.
[4]	Liu W, Bakker NA, Groen RJ. Chronic subdural hematoma: a systemtic review and meta-analysis of aurgical procedures[J]. J Neurosurg, 2014, 121(3): 665-673.
[5]	徐伟光，殷利明，钟德全,等.改良钻孔引流术治疗老年慢性硬膜下血肿38例[J].中国老年学杂志, 2014, 9(34): 4974-4975.
[6]	Lee L, Ker J, Ng HY, et al. Outeomes of ehronic subdural hematoma drainage in nonagenarians and centenarians:amulticenter study[J]. J Neurosurg, 2016, 124(2): 546-551.
[7]	冯伟坚，夏俊标，陈汉明,等.急诊床边局麻下锥颅免冲洗单纯引流术与传统钻孔引流术治疗慢性硬膜下血肿的疗效分析[J].中国医药导报, 2013, 10(33): 57-59.
[8]	Lu T, Guan J, An C. Preoperative trepanation and drainage for acute subdural hematoma: two case reports[J]. Exp Ther Med, 2015, 10(1): 225-230.
[9]	Rusconi A, Sangiorgi S, Bifone L, et al. Infrequent hemorrhagic complications follwing surgical drainage of chronic subdural hematomas[J]. J Korean Neurosurg Soc, 2015, 57(5): 379-385.
[10]	何多奇，张西强，樊万鹏,等. 2种不同方法治疗慢性硬膜下血肿的效果分析[J].中国伤残医学, 2015, 23(4): 52-53.
[11]	唐海川，陈浩.微创引流术中气体置换治疗慢性硬膜下血肿的对比分析[J].河北医药, 2015, 37(3): 397-398.
[12]	彭威.慢性硬膜下血肿手术治疗方法的临床分析[D].苏州大学, 2013.
[13]	梁玉敏，杨中坚，朱诚.慢性硬膜下血肿钻孔引流术后再发颅内血肿5例报告[J].中国神经精神疾病杂志, 1992, 18(1): 48-49.
[14]	韩青松，于景惠.颅脑手术后并发颅内积气与张力性气颅[J].中国煤炭工业医学杂志, 2002, 5(4): 341-342.
[15]	王舜尧，褚光，陈天虎,等.改进单孔引流术式治疗慢性硬膜下血肿的体会[J].安徽医学, 2013, 34(9): 1345-1346.
[16]	韩鹏慧.改进式治疗慢性硬膜下血肿临床临床效果观察[J].临床合理用药, 2015, 8(10): 116-117.

组别	例数	治愈	好转	未愈
传统组	31	26（83.9）	4（12.9）	1（3.2）
封闭组	32	29（90.6）	3（9.4）	0（0.0）
Z值	?	?	1.685	?
P值	?	?	0.405	?

组别	例数	治愈	好转	未愈
传统组	31	26（83.9）	4（12.9）	1（3.2）
封闭组	32	29（90.6）	3（9.4）	0（0.0）
Z值	?	?	1.685	?
P值	?	?	0.405	?

组别	例数	颅内积气	脑损伤	硬膜下积液	脑脊液漏	癫痫	复发	并发症总计
传统组	31	8	6	3	7	2	3	29
封闭组	32	1	0	2	0	1	2	6
χ²值	?	4.893	4.784	0.001	6.003	0.000	0.001	32.71
P值	?	0.027	0.029	0.970	0.014	0.978	0.970	0.000

组别	例数	颅内积气	脑损伤	硬膜下积液	脑脊液漏	癫痫	复发	并发症总计
传统组	31	8	6	3	7	2	3	29
封闭组	32	1	0	2	0	1	2	6
χ²值	?	4.893	4.784	0.001	6.003	0.000	0.001	32.71
P值	?	0.027	0.029	0.970	0.014	0.978	0.970	0.000

Please choose a citation manager

Content to export