A Study of the Drainage Way of Small Bone Window Craniotomy in Intracerebral Hemorrhage

GAO Yin-he; ZHANG Yu-ding; CHENG Pin-wen

doi:10.14033/j.cnki.cfmr.2016.14.009

Abstract：Objective:To explore the effect of two kinds of drainage patterns commonly used in small bone window cleaning on the result of the operation of intracerebral hematoma.Method:From June 2012 to June 2015,81 cases of cerebral hemorrhage patients who were admitted in our department by small bone window craniotomy were selected, ,they were randomly used residual hematoma cavity drainage and subdural drainage,by analysing the postoperative effect of drainage and drainage of intracranial blood residue to discuss their advantages and disadvantages.Result:There were 52 cases in the subdural drainage group, 1 case was drainage tube blockage,there was no cerebral tissue injury,29 cases in residual cavity drainage group and 14 cases were drainage tube blockage.The average daily drainage volume of the subdural drainage group were significantly more than those in the residual cavity drainage group.The subdural drainage group of postoperative residual cavity hemorrhage and subdural hemorrhage distribution were significantly better than those in the residual cavity drainage group,the differences between the two groups were all statistically significant(P<0.05).Conclusion:Subdural drainage can effectively relieve the residual bleeding,relieve the intracranial pressure,reduce cerebral edema,the drainage effect of residual cavity drainage is poor,and it is one of the factors of postoperative rebleeding.