摘要
Abstract
Objective: To investigate the effect and advantages of metal hard channel invasive drilling in the treatment of chronic subdural hematoma (CSDH).Method: 58 patients who had chronic subdural hematoma were divided into two groups randomly. Group A: 29 cases underwent incision of scalp skull drilling silicone tube implantation of soft channel drainage treatment. Group B: 29 cases used the metal hard channel to drill skull to build the drainage of hard channel though scalp. Operation time, extubation time, anesthetic requirement, curative effect, the recurrence rate, average hospitalization time, the incidence of intracranial pneumatosis, infection rate, and other indicators between the two groups were compared.Result: Operation time, hospitalization time, incidence of intracranial pneumatosis, anesthetic requirements between the two groups was compared and showed significantly different (P<0.05), but extubation time after surgery, recurrence rate, infection rate, explicit efficiency did not show different.Conclusion: Using the metal hard channel to drill skull to build the drainage of hard channel to cure the CSDH that is better than using the method of incision of scalp skull drilling silicone tube implantation of soft channel drainage treatment in operation time, hospitalization time, the incidence of intracranial pneumatosis, anesthetic requirements. There is no statistically significant difference in the infection rate, recurrence rate and extubation time. Thus, curative effect of metal hard channel invasive drilling is remarkable, the operation is convenient, it is the most simple, safe and effective treatment for CSDH, and worth clinical promotion.关键词
硬通道/软通道/钻孔引流/慢性硬膜下血肿/高速电钻/老年人Key words
Hard channel/Soft channel/Invasive drilling/Chronic subdural hematoma/High speed electric drill/Senior citizens
