Effects of Modified Borehole Drainage on Postoperative Intracranial Pneumatocele Remoteintracranial Hemorrhageand Short-term Prognosis in Patients with Chronic Subdural Hematoma
ZHOU Hui, WANG Haiquan
West China Guang'an Hospital, Sichuan University, Sichuan Guang'an 638000, China
Abstract：Objective: To explore the effects of modified borehole drainage on postoperative intracranial pneumatocele, remote intracranial hemorrhage and short-term prognosis in patients with chronic subdural hematoma. Methods: 120 patients with chronic subdural hematomawhowere admitted to the hospital from January 2017 to January 2020 were enrolled as research objects. They were randomly divided into observation group (61 cases) and control group (59 cases) according to the random number table method. The control group was treated with routine boreholedrainage, while observation group was treated with endoscopic assisted drilling drainage, In addition, the brain tissue recruitment of the observation group was significantly better than that of the control group (P<0.05). The general surgical indexes, postoperative complications, clinical curative effect and prognosis results at 1 month after surgery were compared between the two groups. Results: There was no significant difference in operation time between the two groups (P>0.05). The hospitalization time in observation group was significantly shorter than that in control group (P<0.05), incidence of postoperative intracranial pneumatocele, intracranial effusion and remote intracranial hemorrhage was lower than that in control group (P<0.05),and total clinical response rate was significantly higher than that in control group (98.36% vs 89.83%) (P<0.05). At 1 month after surgery, disability rate in observation group was significantly lower than that in control group (1.64%vs 10.17%) (P<0.05), and recurrence rate was significantly lower than that in control group (1.64% vs 11.86%) (P<0.05). Conclusion: The application of endoscopic assisted drilling drainage in patients with chronic subdural hematoma is not only beneficial to reduce the incidence of postoperative intracranial pneumatocele, intracranial effusion and remote intracranial hemorrhage, In addition, it is conducive to the rapid recovery of brain tissue, with better clinical curative effect, but also can reduce Postoperativerecurrence rate and disability rate, which is of certain positive significance in improving prognosis of patients.
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2021, Vol. 27 
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