Academic Journals Database
Disseminating quality controlled scientific knowledge

Treatment of irrigation through burr hole with siphonage drainage for chronic subdural hematoma: a report of 139 cases

ADD TO MY LIST
 
Author(s): She-peng WEI | Ji-zong ZHAO | Fan-min ZHOU | Kan DING | Wei-feng ZHANG | Yan-fei ZHANG | Cheng YANG | Liang WEI | Kui-ming ZHANG | Zhi-yang SUN

Journal: Medical Journal of Chinese People's Liberation Army
ISSN 0577-7402

Volume: 36;
Issue: 10;
Start page: 1077;
Date: 2011;
Original page

Keywords: hematoma | subdural | chronic;neurosurgical proceduresl;irrigation;drainage

ABSTRACT
Objective To investigate the effect of irrigation through burr hole with siphonage drainage on chronic subdural hematoma(CSDH).Methods The clinical data of 139 patients with CSDH(89 males and 50 females,aged from 48 to 87 with mean of 66.4 years) hospitalized from Jan.2006 to Dec.2010 were retrospectively reviewed.All the patients were finally diagnosed by radiology,and divided into 3 groups according to the operative method,i.e.parietal burr hole irrigation with drainage group(group A,n=47),parietal burr hole irrigation and aspiration group(group B,n=41),and frontal burr hole irrigation with siphonage drainage group(group C,n=51).All the patients were treated with closed drainage for 2-6 days.The activity of daily living(ADL) scores was measured before and 7 days after operation in all patients.The patients were followed-up for 12-36 months to observe the treatment results.Results No death occurred in the 3 groups during the follow-up period.The improvement of ADL was markedly better in group C than in group B(P < 0.05) and group A(P < 0.01),and in group B than in group A(P < 0.05).The recurrence rate was significantly lower in group C(0.02%) than in group B(12.19%,P < 0.05) and group A(29.79%,P < 0.01),and in group B than in group A(P < 0.05).No significant difference was found regarding length of hospital stay among the 3 groups(P > 0.05).Conclusion The frontal burr hole irrigation with siphonage drainage has a definite treatment effect for CSDH with a low recurrence rate and less complications,and is appropriate to use in most of CSDH patients.

Tango Rapperswil
Tango Rapperswil

     Save time & money - Smart Internet Solutions