额前点钻孔引流治疗高龄慢性硬膜下血肿患者的疗效分析

Curative effects of pre-frontal point craniostomy in the treatment of elderly patients with chronic subdural hematoma

目的探讨额前点钻孔引流术治疗高龄慢性硬膜下血肿(CSDH)患者的临床疗效,为高龄CSDH患者的手术治疗提供参考。方法回顾性分析2019年10月至2023年10月北部战区空军医院神外科收治的83例65岁以上CSDH患者,其中44例行额前点T型钻钻孔引流术为实验组,39行顶结节钻孔冲洗引流术为对照组,分析比较两组患者的临床资料,包括术后3个月MGS评分、手术时长、术中失血量等。结果实验组的手术时长、术中失血量优于对照组,两组术后3个月MGS评分无差异。结论额前点钻孔引流术操作简便、手术时间短、安全性高,适用于高龄CSDH患者。

Objective To assess the clinical efficacy of pre-frontal point craniostomy in elderly patients with chronic subdural hematoma(CSDH)and provide a therapeutic basis for surgical management of CSDH in this population.Methods Retrospective analysis was conducted on 83 patients above the age of 65 with CSDH who were admitted to the Department of Neurosurgery of the Air Force Hospital of the Northern Theater Command between October 2019 and October 2023.Among them,44 patients underwent T-shaped drilling pre-frontal point craniostomy as an experimental group,and the other 39 patients underwent burr hole craniostomy as a control group.The clinical data of the two groups,including postoperative 3-month MGS score,surgical duration,intraoperative blood loss,were analyzed and compared.Results The operation time and intraoperative blood loss of the experimental group were better than those of the control group,and there was no difference in MGS score between the two groups at 3 months after operation.Conclusions Pre-frontal point craniostomy has the characteristics of simple operation,short operation time and high safety,which is suitable for elderly patients with CSDH.