Use of siphon irrigation during burr-hole craniostomy to evacuate chronic subdural hematoma: A retrospective cohort comparison study.

Abstract:

:Burr-hole craniostomy (BHC) is a widely accepted treatment for chronic subdural hematomas (CSDHs). This study adopted siphon irrigation to evacuate CSDHs and investigated its efficacy and safety as compared with the traditional irrigation used in BHC.A retrospective cohort study was conducted at a center between January 2017 and December 2018. The data of 171 patients who underwent burr-hole craniostomy for CSDH were collected and analyzed. A total of 68 patients underwent siphon irrigation (siphon group) and 103 patients were treated by a traditional method (control group). A follow-up was conducted 6 months after the surgery.No significant difference was observed in the baseline characteristics and preoperative computed tomography (CT) features of the 2 groups (P > .05). The postoperative CT features of the siphon group, which included the volume of hematoma evacuation (P = .034), hematoma evacuation rate (P < .001), recovery rate of the midline shift (P = .017), and occurrence of pneumocephalus (P = .037) were significantly different and better than those of the control group. The length of hospital stay after surgery of the siphon group was significantly shorter than that of the control group (P = .015). The Markwalder score of the siphon group was significantly superior to that of the control group on postoperative day 1 (P = .006). Although the recurrence rate in the siphon group (2/68, 2.5%) was lower than that in the control group (11/103, 8.9%), no statistically significant difference was observed between them (P = .069). Moreover, no significant differences were observed in terms of complications and mortality rate between the 2 groups.There was no significant difference in the recurrence rate between the groups that underwent siphon irrigation and traditional irrigation. However, in comparison, siphon irrigation can better improve postoperative CT features, promote early recovery of neurological dysfunction after surgery, and shorten the length of hospital stay. This indicates that siphon irrigation may be a better therapeutic option in BHC for CSDH.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Chen S,Chen Z,Yang B,Xu T,Tu XK

doi

10.1097/MD.0000000000020291

subject

Has Abstract

pub_date

2020-05-22 00:00:00

pages

e20291

issue

21

eissn

0025-7974

issn

1536-5964

pii

00005792-202005220-00065

journal_volume

99

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Phenotype of NK Cells Determined on the Basis of Selected Immunological Parameters in Children Treated due to Acute Lymphoblastic Leukemia.

    abstract::Acute lymphoblastic leukemia (ALL) is the most frequent pediatric malignancy. The chemotherapy for ALL is associated with a profound secondary immune deficiency.We evaluated the number and phenotype of natural killer (NK) cells at diagnosis, after the intensive chemotherapy and following the completion of the entire t...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002369

    authors: Koltan S,Debski R,Koltan A,Grzesk E,Tejza B,Eljaszewicz A,Gackowska L,Kubicka M,Kolodziej B,Kurylo-Rafinska B,Kubiszewska I,Wiese M,Januszewska M,Michalkiewicz J,Wysocki M,Styczynski J,Grzesk G

    更新日期:2015-12-01 00:00:00

  • Relationship between retinal vascular occlusions and incident cerebrovascular diseases: A systematic review and meta-analysis.

    abstract::Several studies investigating the role of retinal vascular occlusions, on cerebrovascular diseases (CVD) have been reported, but the results are still inconsistent. We therefore sought to evaluate the relationship between retinal vascular occlusions and CVD.We systematically searched the Cochrane Library, PubMed, and ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000004075

    authors: Zhou Y,Zhu W,Wang C

    更新日期:2016-06-01 00:00:00

  • Women successfully treated for severe intrahepatic cholestasis of pregnancy do not have increased risks for adverse perinatal outcomes.

    abstract::Intrahepatic cholestasis of pregnancy (ICP) increases adverse perinatal outcome (APO) incidence. Whether successful treatment of severe ICP reduces APO risk is unclear.This retrospective, single-center study in China enrolled consecutive women with ICP who had term delivery (≥37 weeks, singleton) between August 2013 a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016214

    authors: Yang J,Chen C,Liu M,Zhang S

    更新日期:2019-07-01 00:00:00

  • Feasibility and safety of automated CO2 angiography in peripheral arterial interventions.

    abstract:ABSTRACT:Carbon dioxide (CO2) gas is an established alternative to iodine contrast during angiography in patients with risk of postcontrast acute kidney injury and in those with history of iodine contrast allergy. Different CO2 delivery systems during angiography are reported in literature, with automated delivery syst...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000024254

    authors: Thomas RP,Viniol S,König AM,Portig I,Swaid Z,Mahnken AH

    更新日期:2021-01-15 00:00:00

  • Auricular acupressure for overweight and obese individuals: A systematic review and meta-analysis.

    abstract:BACKGROUND:Auricular acupressure has been used for treating obesity, but inconsistent outcomes have been reported. Moreover, systematic reviews and meta-analyses have seldom addressed the effects of auricular acupressure and duration of treatment in overweight/obese individuals. This study reviewed research articles on...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000016144

    authors: Huang CF,Guo SE,Chou FH

    更新日期:2019-06-01 00:00:00

  • Evaluation of research topic evolution in psychiatry using co-word analysis.

    abstract::With the rapid increase in the incidence of mental disorders and mental issues, psychiatry has become one of the fastest growing clinical medical disciplines. Development priorities and research foci in this field have evolved over different periods.All the articles in 10 psychiatric journals with the highest impact f...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007349

    authors: Wu Y,Jin X,Xue Y

    更新日期:2017-06-01 00:00:00

  • Pyogenic Sacroiliitis in a 13-Month-Old Child: A Case Report and Literature Review.

    abstract::Pyogenic sacroiliitis is exceptional in very young children. Diagnosis is difficult because clinical examination is misleading. FABER test is rarely helpful in very young children. Inflammatory syndrome is frequent. Bone scintigraphy and MRI are very sensitive for the diagnosis. Joint fluid aspiration and blood cultur...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000001581

    authors: Leroux J,Bernardini I,Grynberg L,Grandguillaume C,Michelin P,Ould Slimane M,Nectoux E,Deroussen F,Gouron R,Angelliaume A,Ilharreborde B,Renaux-Petel M

    更新日期:2015-10-01 00:00:00

  • The effect of water immersion delivery on the strength of pelvic floor muscle and pelvic floor disorders during postpartum period: An experimental study.

    abstract:BACKGROUND:Water immersion delivery is a non-pharmacological approach to ease labor pain. This paper aims to investigate the effect of water immersion delivery on increasing strength of pelvic floor muscle (PFM) and relieving pelvic floor disorders (PFDs) during postpartum period. METHODS:A total of 2749 vaginal-deliv...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008124

    authors: Zhao Y,Xiao M,Tang F,Tang W,Yin H,Sun GQ,Lin Y,Zhou Y,Luo Y,Li LM,Tan ZH

    更新日期:2017-10-01 00:00:00

  • Tibial plateau fracture related to unicompartmental knee arthroplasty: Two case reports and literature review.

    abstract:RATIONALE:Unicompartmental knee arthroplasty (UKA) is an effective method to treat single compartment disease of the knee joint. Report about the complications of UKA, especially tibial plateau fractures, is rare. Given its rarity, its pathogenesis is not well described, and a standard of treatment is still not establi...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000017338

    authors: Lu C,Ye G,Liu W,Wu H,Wu G,Chen J

    更新日期:2019-10-01 00:00:00

  • Treatment of atrial fibrillation with third-degree atrioventricular block by pacing His bundle and left bundle branch: Case report.

    abstract:INTRODUCTION:Substantial advances in cardiac pacing technology have been developed in the past decades. However, efforts to improve pacing technology to achieve physiological electrical activity, such as with cardiac resynchronization therapy, are underway. Permanent His bundle pacing, which directly stimulates the His...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021097

    authors: Zhang D,Huang X

    更新日期:2020-08-14 00:00:00

  • A Retrospective Cohort Study Comparing Stroke Recurrence Rate in Ischemic Stroke Patients With and Without Acupuncture Treatment.

    abstract::Little was known about the effects of acupuncture on stroke recurrence. The aim of this study is to investigate whether ischemic stroke patients receiving acupuncture treatment have a decreased risk of stroke recurrence. A retrospective cohort study of 30,058 newly diagnosed cases of ischemic stroke in 2000 to 2004 wa...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001572

    authors: Shih CC,Liao CC,Sun MF,Su YC,Wen CP,Morisky DE,Sung FC,Hsu CY,Lin JG

    更新日期:2015-09-01 00:00:00

  • Salivary lactate dehydrogenase and aminotransferases in diabetic patients.

    abstract::Diabetes mellitus (DM) is a group of metabolic diseases resulting from impaired insulin secretion and/or action. DM is characterized by hyperglycemia that can lead to the dysfunction or damage of organs, including the salivary glands.The aim of this study was to compare the levels of salivary lactate dehydrogenase (LD...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005211

    authors: Malicka B,Skoskiewicz-Malinowska K,Kaczmarek U

    更新日期:2016-11-01 00:00:00

  • Classic Citations in Main Primary Health Care Journals: A PRISMA-Compliant Systematic Literature Review and Bibliometric Analysis.

    abstract::The impact of a publication in a particular medical area is reflected by the number of times the article is included as a citation. It is not known, however, which articles are cited the most in primary care journals. In our study, we aimed to identify the 100 most cited articles in primary care medicine and analyze t...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002219

    authors: Li H,Zhao X,Zheng P,Hu M,Lu Y,Jia F,Tong X

    更新日期:2015-12-01 00:00:00

  • Combination of pembrolizumab and imatinib in a patient with double KIT mutant melanoma: A case report.

    abstract:RATIONALE:The treatment of metastatic melanoma has been revolutionized in the past decade because of the development of immunotherapies and targeted therapies. Despite these developments, there is still an unmet clinical need for more advanced combination therapies for the subset of patients who remain resistant to imm...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017769

    authors: Abdou Y,Kapoor A,Hamad L,Ernstoff MS

    更新日期:2019-11-01 00:00:00

  • Comparison of the efficacy of Gd-EOB-DTPA-enhanced magnetic resonance imaging and magnetic resonance elastography in the detection and staging of hepatic fibrosis.

    abstract::The present study compared the efficacy of gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging (MRI) and magnetic resonance elastography (MRE) in the estimation of hepatic fibrosis stages with histopathologic correlation.This retrospective study included 104 pa...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008339

    authors: Wu WP,Hoi CI,Chen RC,Lin CP,Chou CT

    更新日期:2017-10-01 00:00:00

  • Association between depression and enterovirus infection: A nationwide population-based cohort study.

    abstract::Enterovirus (EV) infection is common among children and adolescents. Few studies have investigated the relationship of depression after EV infection. This study explores an association between EV infection and subsequent depression in children and adolescents and assesses the risk of depression after EV infection with...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005983

    authors: Liao YT,Hsieh MH,Yang YH,Wang YC,Tsai CS,Chen VC,Gossop M

    更新日期:2017-02-01 00:00:00

  • Management of and risk factors for regional recurrence in upper lip squamous cell carcinoma.

    abstract::Our goal was to evaluate the risk factors for regional recurrence in upper lip squamous cell carcinoma (SCC).A total of 109 patients with upper lip SCC were retrospectively enrolled. Clinical and pathologic information was collected and analyzed.Fifteen (13.8%) patients had a regional metastasis, 2 patients had paroti...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008270

    authors: Liu F,Wang L,Pang S,Kan Q

    更新日期:2017-11-01 00:00:00

  • Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report.

    abstract:INTRODUCTION:Kawasaki disease (KD) is a systemic inflammatory disease. Standard imaging features of KD include interstitial and lobular inflammatory lesions in the lungs, while KD shock syndrome (KDSS), complicated with substantial consolidation and atelectasis in the lung, is rarely reported. PATIENTS CONCERNS:Herein...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020998

    authors: Song Y,Wei W,Liu L,Wang Y,Shi X,Li L

    更新日期:2020-07-17 00:00:00

  • The risk of herpes zoster virus infection in patients with depression: A longitudinal follow-up study using a national sample cohort.

    abstract::The features of herpes zoster share some commonalities with depression, including decreased cellular immunity, a close correlation with nutritional status, and a higher prevalence in the elderly population. We aimed to assess the association between herpes zoster infection and depression in the Korean population.We pe...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017430

    authors: Choi HG,Kim EJ,Lee YK,Kim M

    更新日期:2019-10-01 00:00:00

  • The use of SAPS 3, SOFA, and Glasgow Coma Scale to predict mortality in patients with subarachnoid hemorrhage: A retrospective cohort study.

    abstract::Guidelines for patients with subarachnoid hemorrhage (SAH) management and several grading systems or prognostic indices have been used not only to improve the quality of care but to predict also the outcome of these patients. Among them, the gold standards Fisher radiological grading scale, Hunt-Hess and the World Fed...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012769

    authors: Basile-Filho A,Lago AF,Menegueti MG,Nicolini EA,Nunes RS,Lima SL,Ferreira JPU,Feres MA

    更新日期:2018-10-01 00:00:00

  • Effect and safety of roflumilast for chronic obstructive pulmonary disease in Chinese patients.

    abstract:BACKGROUND:This trial aimed to evaluate the efficacy and safety of roflumilast for treating Chinese patients with chronic obstructive pulmonary disease (COPD). METHODS:A total of 120 patients with COPD were recruited and were randomly divided into 2 groups (an intervention group and a placebo group) at a 1:1 ratio. Pa...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000009864

    authors: Liu DY,Wang ZG,Gao Y,Zhang HM,Zhang YX,Wang XJ,Peng D

    更新日期:2018-02-01 00:00:00

  • Alström syndrome: A novel mutation in Saudi girl with insulin-resistant diabetes.

    abstract:RATIONALE:Alström syndrome is an autosomal recessive disorder characterized by hearing loss, blindness, obesity, non-insulin dependent diabetes, and others. PATIENT CONCERN:A 10 years old Saudi girl, who presented with diabetic ketoacidosis and found to have hearing loss and blindness. DIAGNOSIS:Alström syndrome. IN...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006192

    authors: Bakar AA,Kamal NM,Alsaedi A,Turkistani R,Aldosari D

    更新日期:2017-03-01 00:00:00

  • Pial arteriovenous fistula with appearance of hemorrhagic tumor: A case report.

    abstract:INTRODUCTION:Pial arteriovenous fistula (PAVF) is a rare intracranial vascular disease, and its presentation with a huge tumor-resembling thrombus is rarer. PATIENT CONCERNS:A 38-year-old female patient presented with a sudden left-side motor disorder and loss of consciousness. The patient was otherwise in good health...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022819

    authors: Zhao Y,Qu Y,Yu Y,Yao W,Xu H,Yu J,Chen X

    更新日期:2020-10-16 00:00:00

  • Use of Valtrac™-secured intracolonic bypass in laparoscopic rectal cancer resection.

    abstract::The occurrence of anastomotic leakage (AL) remains a major concern in the early postoperative stage. Because of the relatively high morbidity and mortality of AL in patients with laparoscopic low rectal cancer who receive an anterior resection, a fecal diverting method is usually introduced. The Valtrac™-secured intra...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000224

    authors: Ye F,Chen D,Wang D,Lin J,Zheng S

    更新日期:2014-12-01 00:00:00

  • Association analysis of CHRNA3 polymorphisms with schizophrenia in a Chinese Han population: A case-control study.

    abstract::Schizophrenia (SCZ) is a highly heritable, chronic, severe psychiatric disorder associated with significant financial costs to families and societies. In this case-control study, we investigated the associations between seven SNPs in CHRNA3 gene and the risk of SCZ.A total of 1071 (384 cases and 687 controls) unrelate...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010863

    authors: Li G,Bai M,Guo C,Zhu L,Wang L,Yuan D,Jin T,He Y

    更新日期:2018-06-01 00:00:00

  • Flumazenil reduces respiratory complications during anesthesia emergence in children with preoperative upper respiratory tract infections.

    abstract::Despite its benignity, upper respiratory infections (URIs) 1 increase the risk of postoperative respiratory complications during the perioperative and postoperative periods. Flumazenil could improve the symptoms of respiratory obstruction.To evaluate the effect of flumazenil on the occurrence of respiratory complicati...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010516

    authors: Sun R,Wang G,Gao X,Wang S

    更新日期:2018-04-01 00:00:00

  • Successful treatment of metastatic adrenocortical carcinoma in the spine: A case report and literature review.

    abstract:RATIONALE:Adrenocortical carcinoma is a rare aggressive type of cancer whose prognosis is poor, particularly for metastatic entities. Metastatic adrenocortical carcinoma in the spine is a rare disease with no standard curative managements yet. The objective of this study is to report a very rare case of spinal metastas...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000018259

    authors: Liu S,Zhou X,Song A,Huo Z,Wang Y,Liu Y

    更新日期:2019-12-01 00:00:00

  • Pain relieving effect of dexmedetomidine in patients undergoing total knee or hip arthroplasty: A meta-analysis.

    abstract:BACKGROUND:To evaluate the safety and efficacy of dexmedetomidine in patients undergoing total knee and hip arthroplasty for postoperative pain control. METHODS:An updated systematic review and meta-analysis of randomized controlled trials (RCTs) identified in systematic searches of MEDLINE, EMBASE, Google Scholar, th...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000018538

    authors: Yang Q,Ren Y,Feng B,Weng X

    更新日期:2020-01-01 00:00:00

  • Efficacy of Shexiang Baoxin Pills for the treatment of unstable angina pectoris: Protocol of systemic review and meta-analysis.

    abstract:BACKGROUND:Shexiang Baoxin Pills (SBP) is widely used for the treatment of unstable angina pectoris (UAP) in China. However, the clinical evidence on the efficacy of SBP for the treatment of UAP is not well concluded. METHODS:Seven electronic databases will be searched for eligible studies: MEDLINE, EMBASE, The Cochra...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017119

    authors: Chen H,Dong Q,Zheng X

    更新日期:2019-09-01 00:00:00

  • Analysis of D-dimer cut-off values for overt DIC diagnosis in exertional heat illness.

    abstract:ABSTRACT:The International Society on Thrombosis and Haemostasis (ISTH) scoring system has been used for diagnosing overt disseminated intravascular coagulation (DIC). However, the cut-off points of fibrin-related markers remain unclear. The ability of the ISTH DIC score and Multiple Organ Dysfunction (MODS) score to p...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023831

    authors: Gao TY,Yang WC,Zhou FH,Song Q

    更新日期:2020-12-24 00:00:00