Keywords
Craniotomy
Traumatic brain injury
Epidural hematoma
Submitted : 2023-12-11
Accepted : 2023-12-26
Published : 2024-01-10
Abstract
Objective: To compare and analyze the clinical efficacy of craniotomy compared to minimally invasive drainage in treating patients with traumatic brain injury and epidural hematoma. Method: 60 patients with traumatic epidural hematoma due to traumatic brain injury admitted to our hospital from August 2019 to August 2022 were selected as study subjects. The patients were divided into a control group and an observation group, with 30 cases in each group. The patients in the control group underwent craniotomy, whereas the patients in the observation group underwent minimally invasive drainage. The general indexes of the operation and the incidence of postoperative complications were compared between the two groups. Results: There was no difference in the hematoma clearance rate between the two groups (P > 0.05). The operation duration, tube placement time, incision length, and duration of hospital stay of the observation group were shorter than those of the control group. Besides, the intraoperative blood loss of the observation group was lesser than that of the control group, and the postoperative complication rate of the observation group was also lower than that of the control group (P < 0.05). Conclusion: Compared with craniotomy, minimally invasive drainage has a shorter operation time and can improve postoperative recovery of patients with epidural hematoma. It offers a hematoma clearance rate with craniotomy, with a smaller intraoperative blood loss and a lower risk of postoperative complications. Therefore, this treatment regimen should be popularized in clinical practice.
References
Chou C, Zuo Q, Zhang Y, et al., 2021, Analysis of the Efficacy of Middle Meningeal Artery Embolization in the Treatment of Acute Traumatic Epidural Hematoma. Journal of Second Military Medical University, 42(2): 153–156.
Huang T, Jin Y, 2019, Observation on the Clinical Effect of Minimally Invasive Drainage of Intracranial Hematoma in the Treatment of Epidural Hematoma due to Traumatic Brain Injury. Chinese Community Physician, 35(29): 22 + 25.
Zhang C, Wang Q, Li C, et al., 2023, Efficacy Analysis of Transradial Artery Access Embolization of Middle Meningeal Artery Combined with Minimally Invasive Drilling and Drainage in the Treatment of Acute Epidural Hematoma. Chinese Journal of Neurology, 22(9): 928–932.
Chinese Association of Neurological Surgeons, China Neurotrauma Expert Committee, 2009, Surgical Guidelines for Craniocerebral Trauma in China. Chinese Journal of Neurosurgery, 25(2): 100–101.
Lu X, Cheng A, 2019, Observation on the Efficacy of Minimally Invasive Drainage in the Treatment of Extradural Hematoma in Traumatic Brain Injury. Modern Diagnosis and Treatment, 30(1): 98–99.
Zheng C, Yang Y, Yuan Y, et al., 2023, Comparative Analysis of The Application of Minimally Invasive Drainage and Craniotomy for the Treatment of Extradural Hematoma in Traumatic Brain Injury. Chinese Health Care, 41(16): 62–64.
Zhao H, 2023, Application of Minimally Invasive Drainage in Patients with Traumatic Brain Injury with Epidural Hematoma. Systemic Medicine, 8(12): 150–152 + 169.
Wang S, 2021, Analysis and Research on the Clinical Effectiveness of Minimally Invasive Drainage and Craniotomy in the Treatment of Epidural Hematoma in Traumatic Brain Injury. Systemic Medicine, 6(1): 113–115.
Sun Z, Guo Z, Wang S, 2023, Effect of Neuroendoscopy and Hard Channel Minimally Invasive Puncture and Drainage in the Treatment of Hypertensive Cerebral Hemorrhage in the Elderly. Chinese Journal of Gerontology, 43(15): 3609–3613.
Zhang J, Lin X, Li J, et al., 2023, Clinical Effects of Minimally Invasive Drilled Soft Channel Drainage for Ventricular Hemorrhage and Factors Influencing Postoperative Rebleeding. Journal of Clinical and Pathological Medicine, 43(1): 107–114.