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World Neurosurg. 2018 Jul;115:e756-e760. doi: 10.1016/j.wneu.2018.04.168. Epub 2018 May 3.

Burr-Hole Craniostomy with T-Tube Drainage as Surgical Treatment for Chronic Subdural Hematoma.

Author information

1
Department of Neurosurgery, The First Affiliated Hospital of Xi'an Medical University, Xi'an, Shaanxi Province, China. Electronic address: luwenchao1985@163.com.
2
Department of Neurosurgery, The First Affiliated Hospital of Xi'an Medical University, Xi'an, Shaanxi Province, China.

Abstract

OBJECTIVE:

We sought to investigate the effect of burr-hole craniostomy with T-tube drainage to treat chronic subdural hematoma (CSDH).

METHODS:

Eighty-seven patients with CSDH who were recruited from January 2012 to June 2017 at the Department of Neurosurgery, The First Affiliated Hospital of Xi'an Medical University, were divided into 2 groups according to the method of drainage: T-tube drainage system (n = 45) and conventional subdural drainage system (n = 42). Retrospective analysis of clinical data and efficacy was performed between the 2 groups.

RESULTS:

There were no significant differences in age, preoperative Markwalder grade scale, preoperative hematoma volume, hospitalization days, and discharge Markwalder grade scale between the 2 groups (P > 0.05). The incidence of postoperative complications and hematoma recurrence in the group of patients with T-tube drainage was significantly reduced when compared with conventional subdural drainage systems (P < 0.05).

CONCLUSIONS:

Both methods were effective in the treatment of CSDH; however, we found a lower overall surgical complication rate following treatment with burr-hole craniostomy and T-tube drainage. This indicates that it may be a better therapeutic option for management of CSDH.

KEYWORDS:

Burr-hole drainage; Chronic subdural hematoma; Complications; Subdural drain; T-tube drain

PMID:
29729458
DOI:
10.1016/j.wneu.2018.04.168
[Indexed for MEDLINE]

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