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Efficacy evaluation of neuroendoscopy vs burr hole drainage in the treatment of chronic subdural hematoma:An observational study

引用

World Journal of Clinical Cases 2022年第35期10卷 12920-12927页

作者： Xue-Jian Wang Yu-Hua Yin Zhi-Feng Wang Yi Zhang Cheng Sun Zhi-Ming Cui Department of Neurosurgery Affiliated Hospital 2 to Nantong UniversityNantong 226001Jiangsu ProvinceChina Department of Neurosurgery Renji HospitalShanghai Jiao Tong UniversityShanghai 200000China Jiangsu Provincial Key Laboratory of Nerve Regeneration Nantong UniversityNantong 226001Jiangsu ProvinceChina Department of Orthopedic Affiliated Hospital 2 to Nantong UniversityNantong 226001Jiangsu ProvinceChina

BACKGROUND Chronic subdural hematoma(CSDH)is a common disease in *** traditional treatment methods include burr hole drainage,bone flap craniectomy and other surgical methods,and there are certain complications such as recurrence,pneumocephalus,infection and so *** the promotion of neuroendoscopic technology,its treatment effect and advantages need to be further *** To study the clinical effect of endoscopic small-bone approach in *** A total of 122 patients with CSDH admitted to our hospital from August 2018 to August 2021 were randomly divided into two groups using the digital table method:the neuroendoscopy group(n=61 cases)and the burr hole drainage group(n=61 cases).The clinical treatment effect of the two groups of patients with CSDH was *** At the early postoperative stage(1 d and 3 d),the proportion of 1/2 re-expansion of brain tissue in the hematoma cavity and the proportion of complete reexpansion was higher in the neuroendoscopy group than in the burr hole drainage group,and the difference between the two groups was statistically significant(Pburr hole drainage group,and the difference between the two groups was statistically significant(P<0.05).No intracranial hematoma,low cranial pressure,tension pneumocephalus or other complications occurred in the neuroendoscopy *** The neuroendoscopic approach for the treatment of CSDH can clear the hematoma under direct vision and separate the mucosal *** surgical effect is apparent with few complications and definite curative effect,which is worthy of clinical promotion and application.

关键词： Neuroendoscopy Small bone window approach Chronic subdural hematoma Curative effect burr hole drainage

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