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

作　　者：Xue-Jian Wang Yu-Hua Yin Zhi-Feng Wang Yi Zhang Cheng Sun Zhi-Ming Cui 

机构地区：[1]Department of Neurosurgery,Affiliated Hospital 2 to Nantong University,Nantong 226001,Jiangsu Province,China [2]Department of Neurosurgery,Renji Hospital,Shanghai Jiao Tong University,Shanghai 200000,China [3]Jiangsu Provincial Key Laboratory of Nerve Regeneration,Nantong University,Nantong 226001,Jiangsu Province,China [4]Department of Orthopedic,Affiliated Hospital 2 to Nantong University,Nantong 226001,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2022年第35期12920-12927,共8页世界临床病例杂志

基　　金：the Science and Technology Program of Nantong Health Committee,No.MA2019003,No.MA2021017,No.MB2021026,and No.MB2021027;Science and Technology Program of Nantong City,No.Key003 and No.JCZ2022040;and Kangda College of Nanjing Medical University,No.KD2021JYYJYB025。

摘　　要：BACKGROUND Chronic subdural hematoma(CSDH)is a common disease in neurosurgery.The 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 on.With the promotion of neuroendoscopic technology,its treatment effect and advantages need to be further evaluated.AIM To study the clinical effect of endoscopic small-bone approach in CSDH.METHODS 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 compared.RESULTS 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(P<0.05).The recurrence rate of hematoma in the neuroendoscopy group was lower than that in the burr 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 group.CONCLUSION The neuroendoscopic approach for the treatment of CSDH can clear the hematoma under direct vision and separate the mucosal lace-up.The 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 

分 类 号：R651.1[医药卫生—外科学]