Comparison Of Conventional Drilling Drainage And Minimally Invasive Treatment Of Chronic Subdural Hematoma

Objective: Summary and analysis of the clinical data of72patients with chronicsubdural hematoma, explore the clinical effects of conventional drilling drainage andminimally invasive surgery and comparing two surgical methods.Methods: Select patients with chronic subdural hematoma in affiliated hospital ofPanzhihua College from April,2000to July,2009, Which, from April,2000toApril,2004were treated31cases of chronic subdural hematoma, the use of conventionaldrilling drainage in the treatment; from May,2004, to July,2009were treated41cases ofchronic subdural hematoma, the use of minimally invasive needle closed drainage ofYL-1in thetreatment. And a total of72cases were retrospectively summarized andanalyzed. Age, hematoma volume and clinical cure rate, effective rate, the length ofsurgical incision, blood loss, operative time, the length of hospital stay, complicationrate for comparative analysis. All data are used SPSS13.0statistical software forstatistical analysis.Results:72patients were successfully completed surgery and treatment. Drainagetubes were safely removed in two treatment groups of conventional drilling drainageand minimally invasive needle closed drainage of YL-1, postoperative incisions were Ihealing period. Preoperative age and hematoma volume compared minimally invasiveneedle closed drainage of YL-1in the treatment group were higher than conventionaldrilling drainage in the treatment group, but by statistical software analysis, thedifference between the two groups did not statistically significant (P>0.05); clinical curerate and effective rate, minimally invasive needle closed drainage of YL-1in thetreatment group were higher than conventional drilling drainage in the treatment group,but by statistical software analysis, the difference between the two groups did notstatistically significant (P>0.05); and in the treatment group of conventional drilling drainage compared in terms of the length of surgical incision, blood loss, operative timeand the length of hospital stay, in the treatment group of minimally invasive needleclosed drainage of YL-1smaller incision, less blood loss, shorter operative time and thelength of hospital stay, analyzed by statistical software, the difference between the twogroups was statistically significant (P<0.05); the postoperative complications, thetreatment group of conventional drilling drainage higher than the treatment group ofminimally invasive needle closed drainage of YL-1, statistical software analysis, thedifference between the two groups was statistically significant(P<0.05).Conclusion: We can think the effect of the two groups is safed and reliable, andoperation process of minimally invasive needle closed drainage of YL-1is simple, smalloperation wound, less bleeding, operative time and hospitalization time is short, theadvanges of fewer complication. Therefore, it has a high clinical value.