Application value of minimally-invasive surgical treatment in patients with traumatic epidural hematoma straddling transverse sinus / 中国医师进修杂志

ABSTRACT

Objective To investigate the application value of minimally-invasive surgical treatment in patients with traumatic epidural hematoma(EDH)straddling transverse sinus.Methods Forty-eight patients with traumatic EDH straddling transverse sinus were chosen and preoperative Glasgow Coma Scale (GCS)score ≥8 scores were managed with minimally-invasive drainage under CT location.CT scanning was performed 1 h,3 d after operation and hematoma volume was calculated,and Glasgow Outcome Scale(GOS)score was evaluated 3 months after operation.Results CT scanning showed that the hematoma volume preoperative was(46 ± 14)ml,postoperative of 1 h was(21 ± 4)ml,and 3 d was(16 ± 3)ml,decreased more obviously than preoperative,and there was significant difference(P ＜ 0.05).The GCS score preoperative was(8 ± 4)scores,postoperative of 3 d was(12 ± 2)scores,increased more obviously than preoperative,and there was significant difference(P ＜ 0.05).Three months after operation in 48 patients,GOS score 5 points 37 cases(77.1％,37/48),4 points 7 cases(14.6％,7/48),2 points 2 cases(4.2％,2/48),1 point two cases(4.2％,2/48).Conclusion Minimally-invasive drainage is effective in the treatment of traumatic EDH straddling transverse sinus with GCS score ≥ 8 scores.