Effect of irrigation fluid temperature on the efficacy of burr hole drainage for patients with chronic subdural hematoma
CHENG Ming
YUAN Ning
WANG Jun-quan
LIU Yu-ming
LI Xin
Abstract：Objective To investigate the influence of irrigation fluid temperature on the efficacy of burr hole drainage for patients with chronic subdural hematoma(CSDH).Methods A retrospective analysis was conducted on the clinical of 130 patients with unilateral supratentorial CSDH treated by burr hole drainage from September 2019 to September 2022.Normal saline was used for hematoma cavity irrigation during the surgery,with 65 patients using body temperature saline(37℃,body temperature group)and 65 patients using room temperature saline(20℃,room temperature group).The incidence of surgical-related complications within 2 weeks after the operation,and the recurrence of hematoma and the modified Rankin Scale(mRS)score 3 months after the operation were observed in both groups.Results The incidence of subdural effusion within 2 weeks after the surgery in the body temperature group(7.7%,5/65)was not statistically different from that(9.2%,6/65)in the room temperature group(P=0.753).The recurrence rate of hematoma in the body temperature group(7.7%,5/65)was significantly lower than that(20.0%,13/65)in the room temperature group(P=0.042).The mRS score in the body temperature group(1.52±1.35)was significantly lower than that(2.43±1.44)in the room temperature group(P<0.001).Conclusions For patients with unilateral supratentorial CSDH undergoing burr hole drainage,the use of lavage solution close to body temperature is helpful to hematoma drainage,reducing the postoperative hematoma recurrence rate and improving the prognosis of patients.
Keywords：Chronic subdural hematomaBurr hole drainageLavage fluid temperaturePrognosis
Publication Date：2024-04-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 214-217 )