Effect of Middle Meningeal Artery Embolization Combined with Minimally Invasive Puncture Drainage in the Treatment of Chronic Subdural Hematoma
Objective:To observe the clinical effect of middle meningeal artery embolization combined with minimally invasive puncture drainage in the treatment of chronic subdural hematoma.Method:A total of 70 patients with chronic subdural hematoma who admitted to the Department of Neurosurgery,Gaoling District Hospital in Xi'an from August 2020 to August 2023 were selected as the research objects,the patients were divided into the study group and the control group according to the random number table method,with 35 cases in each group.The control group was treated with minimally invasive puncture drainage,and the study group was treated with middle meningeal artery embolization on the basis of the control group.The improvement of clinical symptoms,prognosis,postoperative complications and cerebrovascular function were compared between two groups.Result:The hematoma clearance rate and good prognosis rate of the study group were higher than those of the control group,the hematoma recurrence rate and the incidence of postoperative complications were lower than those of the control group,and the differences were statistically significant(P＜0.05);the Glasgow coma scale(GCS)scores of two groups at 10 d after operation were higher than those at 5 d after operation,and the modified Rankin scale(MRS)scores at 3 months after operation were lower than those before operation,the Glasgow outcome scale(GOS)score of the study group at 10 d after operation was higher than that of the control group,and the MRS score at 3 months after operation was lower than that of the control group,the differences were statistically significant(P＜0.05);at 7 d after operation,the levels of angiopoietin-1(Ang-1)and arginine vasopressin(AVP)in two groups were lower than those before operation,and those in the study group were lower than the control group,the differences were statistically significant(P＜0.05).Conclusion:Middle meningeal artery embolization combined with minimally invasive puncture drainage in the treatment of chronic subdural hematoma can not only improve the hematoma clearance rate,but also improve the patients'consciousness state,protect and improve neurological function,reduce postoperative complications,and promote prognosis recovery.
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