Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (12): 94-99.doi: 10.6040/j.issn.1671-7554.0.2023.0490

• Clinical Medicine • Previous Articles    

Efficacy and safety of neuroendoscopy and borehole drainage in the treatment of massive chronic subdural hematoma

QIAN Ming, JIANG Lei, WANG Xuejian, ZHAO Wei, WANG Zhifeng, ZHANG Yi   

  1. Department of Neurosurgery, Affiliated Hospital 2 of Nantong University, Nantong 226000, Jiangsu, China
  • Published:2024-01-11

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Abstract: Objective To investigate the efficacy and safety of neuroendoscopy and borehole drainage in the treatment of chronic subdural hematoma(CSDH). Methods Clinical data of 117 CSDH patients hospitalized in our department during Jan. 2020 and Dec. 2022 were retrospectively analyzed. The patients were divided into two groups according to the surgical approaches, 52 cases in the neuroendoscopic group and 65 cases in the borehole drainage group. The demography, CT imaging, clinical efficacy, postoperative complications and recurrence rate were compared between the two groups. Results Compared with the borehole drainage group, the neuroendoscopic group had a shorter drainage tube retention time and hospital stay, and higher hematoma clearance rate(P<0.05), but longer operation time. There was no significant difference in the incidence of postoperative complications between the two groups. The neuroendoscopic group had a better prognosis at the 3-month follow-up. Conclusion Both neuroendoscopy and borehole drainage can effectively treat CSDH, while neuroendoscopy has a higher hematoma clearance rate, shorter retention of drainage tube and hospital stay, and better clinical efficacy.

Key words: Chronic subdural hematoma, Neuroendoscopy, Borehole drainage, Safety

CLC Number: 

  • R651
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