Gurelik Mustafa, Aslan Adem, Gurelik Bilge, Ozum Unal, Karadag Ozen, Kars H Zafer
Department of Neurosurgery, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey.
Can J Neurol Sci. 2007 Feb;34(1):84-7. doi: 10.1017/s0317167100005849.
Burr-hole irrigation and burr-hole drainage without irrigation are the most popular methods for treatment of chronic subdural haematoma. It is not well known if irrigation is necessary or which method has a higher recurrence rate. We compared the recurrence rates of those two methods.
Forty-two patients were treated by burr-hole irrigation (irrigation group), whereas 38 patients were treated by burr-hole drainage (drainage group). Recurrence rate and its relation with sex, age, haematoma localization and aetiology were investigated in both groups.
There was no significant difference between recurrence rates of the two groups. There was also no correlation between recurrence rate and age, sex, haematoma localization, or aetiology.
There was no significant difference between recurrence rates of the two groups. Since the burr-hole drainage method is simpler to carry out, its use may be preferable.
颅骨钻孔冲洗和颅骨钻孔不冲洗引流是治疗慢性硬膜下血肿最常用的方法。目前尚不清楚冲洗是否必要，也不清楚哪种方法复发率更高。我们比较了这两种方法的复发率。
42例患者采用颅骨钻孔冲洗治疗（冲洗组），38例患者采用颅骨钻孔引流治疗（引流组）。对两组患者的复发率及其与性别、年龄、血肿部位和病因的关系进行了研究。
两组复发率无显著差异。复发率与年龄、性别、血肿部位或病因之间也无相关性。
两组复发率无显著差异。由于颅骨钻孔引流方法操作更简单，因此可能更可取。
