KẾT QUẢ PHẪU THUẬT MÁU TỤ DƯỚI MÀNG CỨNG MẠN TÍNH TẠI BỆNH VIỆN HỮU NGHỊ TỪ 2020 ­ 2023

Abstract

Objective: To analyse the results of surgery for chronic subdural hematoma at Friendship Hospital. Subjects and method: A prospective cross-sectional descriptive study on 61 patients who were diagnosed, surgically streated of chronic subdural hematoma at Friendship Hospital since January 2020 to March 2023. Result: Mean age 75.92 ± 12.096; higher at the age 60 years old 91.8%; male ratio 88.5%; female ratio 11.5%; anesthesia’s methods: 100% local anesthesias; surgical methods: 100% burr­hole craniotomy; 95.1% GSC 24 hours 14 ­ 15 after surgery. Complication: 53 case without postoperative complications (86.9%), 1 case of epileptic seizures (1.6%), 1 case of cerebral edema (1.6%), 1 case of postoperative cephalo­spinal liquid fistules, 2 case of recurrent haematomas (3.3%), 1 case of postoperative hemorrhages (1.6%), 1 case of postoperative sepsis, 1 case of postoperative death (1.6%). On the recurrent postoperative evaluations, there were 3 patients who suffers from recurrence after 1 month (4.9%). CT scane after 3 month: 0% patients who suffers frome air, 0% recurrent haematomas and 18% hygroma. At the time patient was dischared, the early surgical outcomes: good 67.2%, median 24.6%, bad 8.2%. At 3­month postoperation, the longterm outcomes: good recovery 84.7%, moderate disability 6.8%, severe disability 1.7%, nerovegetative state 0%, dead 6.8%. Conclusion: Sugery by burr­hole craniostomy is estimated to be safe and low rate of complication in streatment of chronic subdural hematomas.