The study of clinical results and surgical complications of chronic subdural hematoma according to management
Abstract
this paper studies the cases of 82 patients with chronic subdural hematoma C.S.DH.who are admitted and surgically treated in the department of neurosurgery in Alassad hospital and Tishreen hospital between 1-1-2013 /2-11-2016.
The patients were according to: Age, Sex, Predisposing factors ,Clinical sigens and symptoms, Nervius Assesment Upon Admession, Radiologicalstudy, Surgical Technique, Complications, Evaluation of Ptients After Surgery By Glascow outcome scale G.O.S. the most risk factor is head trauma 63,4%.And the most complication factor was recurrence 13.4%.G.C.S was generally more than 13 with59,7%.The hematoma was unilateral in 87,9% of cases, and low dense in 79,2% of cases.
The enitial surgical procedure was one or two Burr-Hole craniostomy in the skull,and evacuation of the hematoma, with or with out placement of closed drainage system.
The aim of this study is to evaluate clinical results and surgical complications,and comparing them with another similar universal studies.
دراسة النتائج السريرية والإختلاطات الجراحية
للنزف تحت الجافية المزمن حسب طريقة التدبير
شملت هذه الدراسة 82 مريض شخص لديهم نزف تحت جافية مزمن قبلوا وعولجوا جراحياً في شعبة الجراحة العصبية في مشفى الأسد الجامعي ومشفى تشرين الجامعي في اللاذقية في الفترة الممتدة بين 1-1-2013 و 1-11-2016.تم تصنيف المرضى في هذه الدراسة حسب:العمر ,الجنس,عوامل الخطورة,الأعراض والعلامات السريرية ,التقييم العصبي عند القبولGCS, الدراسة الشعاعية قبل الجراحة,التكنيك الجراحي المتبع,دراسة الإختلاطات, تقييم المرضى بعد الجراحة من خلال مشعر نتيجة غلاسكوGOS.وقد كان عامل الخطورة الأشيع هو رض الرأس بنسبة 63,4% . أما العرض الأكثر شيوعا فقد كان الصداع بنسبة67% يليه الخزل الشقي .39%مشعر غلاسكو عند القبول كان 13< عند 59,7% من المرضى وكان الاختلاط الأشيع هو النكس بنسبة 13.4% يليه الإنتان بنسبة 12.1% .أما شعاعيا فقد كان الورم الدموي أحادي الجانب لدى 87,9% من الحالات,وكان منخفض الكثافة لدى 79,2% الحالات . وكان الإجراء الجراحي المتبع هو اجراء ثقبة واحدة او ثقبتين في الجمجمة ثم تفريغ الورم الدموي مع أو بدون وضع نظام مفجر مغلق.وتهدف هذه الدراسة الى تقييم النتائج السريرية والاختلاطات الجراحية حسب طريقة التدبير ومقارنتها مع دراسات اخرى مشابهة.
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