|
|
|
| Minimally Invasive Drainage in The Treatment of Chronic Subdural Hematoma After Traumatic Brain Injury |
| Zhang Chaochao |
| Surgical Department,Traditional Chinese Medicine Hospital of Zhumadian City,Zhumadian 463000,China |
|
|
|
|
Abstract Objective To investigate the clinical effect of minimally invasive drainage in the treatment of chronic subdural hematoma after brain injury,and to analyze the influence of complications.Methods 82 cases of patients with chronic subdural hematoma of brain injury were treated in our hospital from April 2016 to April 2020.They were randomly divided into two groups,the control group and the observation group.The control group was treated with drilling and drainage,and the observation group was treated with minimally invasive drainage.The clinical efficacy and the incidence of complications of all patients were observed and compared.Results all patients were reexamined by cranial CT on the 5th day after operation.The residual amount of hematoma,operation time and hospitalization time of the observation group were higher than those of the control group,and the Glasgow Coma index(GCS)score of the patients was significantly higher than that of the control group.After 3 months of follow-up,the clinical symptoms of subdural hematoma of all patients were eliminated.In terms of complications,the incidence of complications in the observation group was only 4.88%,which was significantly lower than 26.83% in the control group.Conclusion in the treatment of chronic subdural hematoma after brain injury,the effect of minimally invasive drainage is more significant than that of drilling drainage,which is helpful to prevent the increase of postoperative complications.
|
|
Received: 05 December 2020
|
|
|
|
|
|
[1] 邵明辰. 比较微创锁孔引流术和开颅手术治疗脑外伤硬脑膜外血肿[J].实用中西医结合临床,2020,5(20):123-124.
[2] 冯斌,蔡明,黄立超,等.微创引流术治疗脑外伤硬脑膜外血肿的疗效观察[J].现代医学与健康研究,2018,17(2):28-30.
[3] 高华. 脑外伤致硬膜下血肿的特点及手术治疗效果分析[J].中西医结合心血管病杂志,2018,7(6):73.
[4] 刘虹灵. 微创引流术治疗脑外伤硬脑膜外血肿的效果及对患者术中出血量的影响评价[J].中国医药指南,2020,16(18):90-91.
[5] 唐斌,王本瀚,李经纶,等.关于脑外伤所致硬膜下血肿的手术治疗分析[J].中国医药指南,2017,14(15):133.
[6] 刘海波. 微创引流术治疗脑外伤慢性硬膜下血肿患者的疗效及并发症发生率影响观察[J].医学美学美容,2020,7(29):67. |
|
|
|
2021, Vol. 41 
