Analysis Of The Therapeutic Effects Of Different Surgical Treatment For Chronic Subdural Hematoma

Objective: to investigate the advantagesand the impact on the long-term effect of irrigation versus no irrigation with saline to flush the hematoma cavity thoroughly during burr-hole craniotomy to treat chronic subdural hematoma.Methods: retrospectively analyzed clinical and imaging data of 107 patients with skull single bore-hole drainagetreatment of chronic subdural hematoma.According to whether using saline thoroughly flushed hematoma cavity,the patients were divided into BHDI group(irrigation)and BHD group(no irrigation).Two groups of patients?general information were collected,including: patients’ gender,age,basic diseases,hematoma volume before surgery,postoperative residual volume and postoperative intracranial pneumatics,and then,compares the differences between the two groups of the above information.Enumeration data were compared with χ2 test,with measurement data using two independent samples T test,by p<0.05 to determine statistical significance.Results: there was no statistically significant difference in the patients of sex,age,basic disease and anticoagulant therapy of the two groups(p>0.05).The residual hematoma volume of patients in the group of BHD was significantly higher than that in BHDI Group(p<0.05),and there were obviouspostoperative intracranial pneumatics after operation in BHDI Group(p<0.05).MRS Score was significantly improved in both groups,but no significant difference was found between the two groups(p=0.47),and the postoperative recurrence rate of BHDI group was slightly higher than that of the BHD group(p=0.03).Conclusion: the treatment of chronic subdural hematoma without saline flushing hematoma cavity by skull drilling drainage has no significant effect on the operation effect,and can reduce the postoperative intracranial gas and recurrence rate.Therefore,in the course of clinical operation,we can consider the operation method without normal saline flushing the hematoma cavity thoroughly,and the postoperative treatment with atorvastatin calcium can achieve good therapeutic effect.