Abstract

Objective To investigate the effect of minimally invasive puncture and drainage on the postoperative rehabilitation and the incidence of complications in patients with chronic subdural hematoma. Methods From March, 2015 to July, 2017, 86 patients with chronic subdural hematoma treated at our hospital were divided into a minimally invasive group (n=43) and a control group (n=43) according to different surgical methods. The control group were treated with drilling drainage and the minimally invasive group with minimal invasive puncture and drainage. The hospitalization time and incidence of complications were compared between the two groups. The patients were followed up for 3 months, and the prognosis of the two groups was compared. Results The hospitalization time was shorter and the incidence of postoperative complications was lower in the minimally invasive group than in the control group [(9.12±2.11)d vs. (15.01±3.27)d and 4.65%(2/43) vs. 18.60%(8/43), P<0.05]. After 3 months’ follow-up, the prognosis of mini-invasive group was better than that of the control group (P<0.05). Conclusion Minimally invasive puncture and drainage in the treatment of chronic subdural hematoma has a low incidence of complications, rapid postoperative recovery, and better prognosis. Key words: Chronic subdural hematoma; Minimally invasive puncture and drainage; Postoperative rehabilitation; Complications

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