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Volume 4,Issue 3

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26 December 2023
Comparison of Minimally Invasive Drainage and Craniotomy in the Treatment of Epidural Hematoma Caused by Brain Trauma
Xiaohong Tan ,  Yanhui Zhao ,  Xiaoli Zhou ,  Jihui Cha ,  Junqiang Qi
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1 The First People’s Hospital of Longnan, Longnan 746000, Gansu Province, China,
2 The First People’s Hospital of Longnan, Longnan 746000, Gansu Province, China,
3 The First People’s Hospital of Longnan, Longnan 746000, Gansu Province, China,
4 The First People’s Hospital of Longnan, Longnan 746000, Gansu Province, China,
5 The First People’s Hospital of Longnan, Longnan 746000, Gansu Province, China,
CNR 2023 , 1(3), 26–31; https://doi.org/10.26689/cnr.v1i3.5728
© 2023 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
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Abstract

Objective: To compare and analyze the clinical efficacy of craniotomy compared to minimally invasive drainage in treating patients with traumatic brain injury and epidural hematoma. Method: 60 patients with traumatic epidural hematoma due to traumatic brain injury admitted to our hospital from August 2019 to August 2022 were selected as study subjects. The patients were divided into a control group and an observation group, with 30 cases in each group. The patients in the control group underwent craniotomy, whereas the patients in the observation group underwent minimally invasive drainage. The general indexes of the operation and the incidence of postoperative complications were compared between the two groups. Results: There was no difference in the hematoma clearance rate between the two groups (P > 0.05). The operation duration, tube placement time, incision length, and duration of hospital stay of the observation group were shorter than those of the control group. Besides, the intraoperative blood loss of the observation group was lesser than that of the control group, and the postoperative complication rate of the observation group was also lower than that of the control group (P < 0.05). Conclusion: Compared with craniotomy, minimally invasive drainage has a shorter operation time and can improve postoperative recovery of patients with epidural hematoma. It offers a hematoma clearance rate with craniotomy, with a smaller intraoperative blood loss and a lower risk of postoperative complications. Therefore, this treatment regimen should be popularized in clinical practice.

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