Treatment Experience and Literature Review of Minimally Invasive Operation for Traumatic Epidural Hematoma Straddling Transverse Sinus in Children
WANG Yaqiong
LOU Dan
TANG Yan
LIU Mengna
LU Yaya
ZHU Yitong
YANG Jiafa
LU Zhaofeng
Abstract：Objective To investigate the clinical features and minimally invasive treatment of traumatic epidural hematoma straddling transverse sinus(TEHSTS)in children.Methods A retrospective study.From January 2005 to November 2022,69 children with TEHSTS who did not respond to conservative treatment in the First Affiliated Hospital of Henan University of Science and Technology underwent CT-guided modified drilling and drainage surgery,and combined with Wanfang and PubMed databases,their efficacy was analyzed.Results Among the 69 children with TEHSTS,44 males and 25 females,aged(9.1±3.2)years,scored preoperative GCS score(12.0±1.5)points,were admitted to the hospital with headache,nausea and vomiting,the volume of hematoma before surgery was(24.5±4.5)mL,the average operation time was(15.4±2.2)hours after injury,and all underwent hematoma modified drilling and drainage surgery under local infiltration anesthesia,and there were no cases of craniotomy.The operation time(10.2±1.5)minutes.The GCS score(14.5±0.5)points at one day after surgery was significantly higher than that before surgery(P＜0.01),and the symptoms of headache,nausea and vomiting were significantly relieved.The time to remove the drain after surgery was(1.5±0.5)days.There were no short-term postoperative complications.The length of postoperative hospital stay was(8.2±1.2)days.The postoperative follow-up period was(6.5±0.5)months,and all GOS recovered well(5 points).Retrieved 17 literature on minimally invasive surgery for TEHSTS,the cure rate was 67％-100％,and only one group was below 64％.Conclusion The modified drilling and drainage under CT positioning guidance for the treatment of TEHSTS in children has the advantages of safety,effectiveness,simplicity and minimally invasive,and can be used as the first choice for most children.
Keywords：traumatic epidural hematoma straddling transverse sinuschildmodified drilling and drainage surgeryeffect
Publication Date：2025-01-29
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：5( 204-208 )