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| Comparison of Clinical Effects between Rigid Neuroendoscopy Assisted Hematoma Removal Surgery and Double Hole Irrigation and Drainage Surgery in the Treatment of Separated Chronic Subdural Hematoma |
| LIN Jianbin |
| First-author's address: Xiamen Fifth Hospital, Fujian Province, Xiamen 361101, China |
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Abstract Objective: To explore the clinical effects of rigid neuroendoscopy assisted hematoma removal surgery and double hole irrigation and drainage surgery in the treatment of separated chronic subdural hematoma. Method: A retrospective analysis was analyzed on 69 patients with partitioned chronic subdural hematoma admitted to Xiamen Fifth Hospital from January 2019 to December 2022. A total of 31 patients treated with rigid neuroendoscopic assisted hematoma removal surgery were selected as the study group, and 38 patients treated with double hole irrigation and drainage surgery were selected as the control group. The related therapeutic indicators, neurological function indicators, daily living ability, and postoperative complications the two groups were compared. Result: The midline displacement in the study group was less than that in the control group, and the drainage time and hospitalization time were shorter than those in the control group, the surgical time was longer than that in the control group, and the hematoma clearance rate was higher than that in the control group, the differences were significant (P<0.05). The levels of central nervous system specific protein S100β in two groups at 30 days after surgery were all lower than those before surgery, and the study group was lower than that of the control group (P<0.05). 30 days after surgery, the ADL scores of both groups were higher than those before surgery, and the study group was higher than that of the control group (P<0.05). 30 days after surgery, the CSS scores of both groups were lower than those before surgery, and the study group was lower than that of the control group (P<0.05). The incidence of pneumatosis, fluid accumulation, hematoma recurrence, and infection in the study group were lower than those in the control group (P<0.05). There were no statistically significant differences in the incidences of epilepsy and brain parenchymal injury between the two groups (P>0.05). Conclusion: Compared to double hole irrigation and drainage surgery, rigid neuroendoscopy assisted hematoma removal surgery can better remove hematoma, improve neurological function and daily living ability, and reduce the risk of complications in the treatment of separated chronic subdural hematoma.
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Received: 28 April 2023
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