Iftikhar Muzna, Siddiqui Usman Tariq, Rauf Mohammad Yaseen, Malik Ali Osama, Javed Gohar
Medical College, Aga Khan University Hospital, Karachi, Pakistan.
Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
J Neurol Surg A Cent Eur Neurosurg. 2016 Sep;77(5):416-21. doi: 10.1055/s-0035-1564049. Epub 2016 Apr 28.
Objective To compare the results of the use of irrigation versus no irrigation during burr hole evacuation of chronic subdural hematoma (CSDH). Methodology The study was a retrospective chart review of those patients who underwent burr hole evacuation of CSDH during a period of 5 years. Cases were divided into two groups based on the use of irrigation during surgery. A subdural drain was placed in all patients (i.e., in both the irrigation and no-irrigation groups) and removed 24 to 48 hours postoperatively. Results The total sample size was 56, of which 34 patients were in the irrigation group and 22 in the no-irrigation group. Recurrence rate was 17.6% in the irrigation group and 9.1% in the no-irrigation group (p = 0.46). Systemic complications were predominantly cardiac related in the no-irrigation group compared with respiratory complications in the irrigation group. The irrigation group had a mortality rate of 5.9% compared with 4.5% in the no-irrigation group (p = 0.66). Conclusion No statistically significant difference was found between the two groups in terms of recurrence or mortality.
比较慢性硬膜下血肿（CSDH）钻孔引流术中使用冲洗与不使用冲洗的效果。方法：本研究是对5年内接受CSDH钻孔引流术的患者进行的回顾性病历审查。根据手术中是否使用冲洗将病例分为两组。所有患者（即冲洗组和非冲洗组）均放置硬膜下引流管，并在术后24至48小时拔除。结果：总样本量为56例，其中冲洗组34例，非冲洗组22例。冲洗组复发率为17.6%，非冲洗组为9.1%（p = 0.46）。非冲洗组全身并发症主要与心脏相关，而冲洗组主要为呼吸系统并发症。冲洗组死亡率为5.9%，非冲洗组为4.5%（p = 0.66）。结论：两组在复发率或死亡率方面无统计学显著差异。
