Clinical Study of Small Bone Window Neuroendoscopy-assisted Hema-toma Removal Combined with Qin Channel Drainage in the Treatment of Separated Chronic Subdural Hematoma
Objective To explore the clinical value of small bone window neuroendoscopy-assisted hematoma removal combined with soft channel drainage in the treatment of separated chronic subdural hematoma.Methods A total of 93 patients with septate chronic subdural hematoma admitted to the Second People's Hospital of Qinzhou City from Janu-ary 2022 to January 2024 were non-randomly selected as study subjects and divided into study group(n=31),control group 1(n=31)and control group 2(n=31)according to different treatment methods.The study group was treated with small bone window neuroendoscopy-assisted hematoma removal combined with soft channel drainage,control group 1 was treated with small bone window neuroendoscopy-assisted hematoma removal alone,control group 2 was treated with soft channel drainage alone.The operation status and postoperative hematoma clearance rate of the three groups were compared.Results The operation time(65.45±5.68)min and(62.36±7.24)min in study group and control group 1 were longer than(44.59±6.13)min in control group 2,and the difference was statistically significant(F=96.410,P<0.05).The drainage time of the study group was shorter than that of the control group 2;the hospitalization time of the study group was shorter than that of the control group 1 and the control group 2,and that of the control group 1 was shorter than that of the control group 2,the differences were statistically significant(all P<0.05).The clearance rate of hematoma in study group and control group 1 was higher than that in control group 2,and the differences were statisti-cally significant(all P<0.05).Conclusion Small bone window neuroendoscopy-assisted hematoma removal combined with soft channel drainage in the treatment of sR septate chronic subdural hematoma can more effectively shorten the drainage time and hospital stay,and improve the postoperative hematoma clearance rate
NeuroendoscopySmall bone window hematoma removalSoft channel drainageChronic subdural hematomaPartition