Apostolakis Sotirios, Vlachos Konstantinos
Department of Neurosurgery, KAT General Hospital of Attica, Neo Faliro, GRC.
Department of Neurological Surgery, KAT General Hospital of Attica, Kifisia, GRC.
Cureus. 2023 May 16;15(5):e39068. doi: 10.7759/cureus.39068. eCollection 2023 May.
Introduction The use of drains following the burr-hole evacuation of chronic (CSDH) and subacute subdural haematomas (SASDH) is a well-established practice offering a significant reduction in recurrence rates and improvement of survival. The purpose of this work is to investigate the complication rate of subdural drains following the burr-hole evacuation of CSDH and SASDH. Methods A retrospective review of the clinical records of all patients managed surgically for CSDH or SASDH was conducted. Patients over 18 years, that met the criteria for surgical evacuation, were included in this study. Patients admitted for CSDH or SASDH but managed either conservatively or with craniotomy were excluded from further analysis. Results A total of 97 cases, with a mean age at the time of diagnosis of 78.25 years were identified in which 122 drains were used. Three complications, two acute subdural haematomas, and one case of drain-associated seizures were identified, yielding an overall complication rate of 3%. Conclusion The use of intradural drains is associated with a small, yet not negligible, possibility of serious complications.
引言 在慢性硬膜下血肿（CSDH）和亚急性硬膜下血肿（SASDH）钻孔引流术后放置引流管是一种成熟的做法，可显著降低复发率并提高生存率。本研究的目的是调查CSDH和SASDH钻孔引流术后硬膜下引流管的并发症发生率。方法 对所有接受CSDH或SASDH手术治疗的患者的临床记录进行回顾性分析。纳入年龄超过18岁、符合手术引流标准的患者。因CSDH或SASDH入院但接受保守治疗或开颅手术的患者被排除在进一步分析之外。结果 共确定97例患者，诊断时的平均年龄为78.25岁，其中使用了122根引流管。发现3例并发症，2例急性硬膜下血肿和1例与引流管相关的癫痫发作，总体并发症发生率为3%。结论 使用硬膜下引流管会有发生严重并发症的可能性，虽小但不容忽视。
