This study compares the application effects of intracranial pressure measurement and external ventricular drainage devices versus simple lumbar cistern drainage in patients with stubborn subcutaneous effusion after cranial surgery. A therapeutic study was conducted on 100 patients, with the experimental group receiving treatment with intracranial pressure measurement and external ventricular drainage devices, and the control group receiving simple lumbar cistern drainage. The drainage effect, complication rate, and therapeutic effect in both groups were compared. The study found that the external ventricular drainage device was successfully inserted and successfully drained subcutaneous effusion in 48 patients, with a success rate of 96%. The success rate of lumbar cistern drainage was 80% with 40 successful cases. The drainage effect of the experimental group was significantly better than that of the control group (P<0.05). There were 2 cases of infection and 1 case of catheter blockage in the experimental group, and 3 cases of infection and 2 cases of catheter dislodgement in the control group. There was no significant difference in the complication rate between the two groups (P>0.05). Regarding the therapeutic effect, the success rate of treatment in the experimental group was 96%, compared to 84% in the control group, with a significant difference between the two groups (P<0.05). Intracranial pressure measurement and external ventricular drainage devices have a higher drainage effect and treatment success rate in patients with stubborn subcutaneous effusion after cranial surgery.

Qiming Yan. Comparison of the Application Effects of Intracranial Pressure Measurement and External Ventricular Drainage Devices Versus Simple Lumbar Cistern Drainage in Patients with Stubborn Subcutaneous Effusion after Cranial Surgery. International Journal of Frontiers in Medicine (2024), Vol. 6, Issue 5: 128-132. https://doi.org/10.25236/IJFM.2024.060518.

[1] Zhang Yinqing, Chen Hanmin, Liao Shengfang, et al. Treatment of subcutaneous effusion after cranioplasty with continuous subcutaneous negative pressure drainage[J]. Medical Theory and Practice, 2002, (09): 1097.

[2] Peng Xiaoling. Nursing experience of continuous lateral ventricular drainage for intraventricular hemorrhage with obstructive hydrocephalus[J]. Electronic Journal of Integrated Traditional Chinese and Western Medicine in Cardiovascular Diseases, 2019, 7(05): 120-121.

[3] Wang Yanwei. Clinical analysis of subcutaneous effusion after cranial surgery[J]. Journal of Medical Forum, 2014, 35(05): 98-99.

[4] Chen Hua, Que Siwei, Yi Jing, et al. Clinical analysis of cerebellar hemorrhage treated with craniotomy hematoma evacuation combined with external ventricular drainage[J]. Chinese Community Doctors, 2019, 35(17): 13, 16.

[5] You Yu, Zhao Ming, Xu Xin, et al. Efficacy analysis of lumbar cistern drainage for complications after cranial tumor surgery[J]. Chinese Journal of Practical Diagnosis and Therapy, 2013, 27(07): 715-716.

[6] Zhang Qigang, Tao Yuming, Zhou Min. Application of continuous lumbar cistern drainage in postoperative complications of posterior cranial fossa (with 19 cases report)[J]. Huaihai Medicine, 2010, 28(01): 39-40.

[7] Liu Jun. Clinical efficacy and safety analysis of puncture drainage and liquefaction technology in the treatment of hypertensive cerebral hemorrhage[J]. Journal of Qiqihar Medical College, 2017, 38(11): 1309-1311.

[8] Wu Xiaohong, Yin Jiangliu, Cai Wenhua, et al. Study on the prevention of subcutaneous hematoma effusion after cranioplasty with a negative pressure suction ball[J]. Practical Preventive Medicine, 2010, 17(11): 2258-2259.

[9] Wu Qiangjun, Liu Qin, Xin Bailong. The effects and prognosis of endoscopic hematoma evacuation surgery for hypertensive cerebral hemorrhage via different approaches[J]. Prevention and Treatment of Cardio-Cerebral-Vascular Disease, 2023, 23(10): 58-61.

[10] Liu Daoqing, Gao Xiaoling, Dang Ronglun, et al. The impact of negative pressure drainage on the incidence of post-neurosurgical intracranial infection and subcutaneous effusion[J]. Henan Medical Research, 2018, 27(08): 1382-1384.

[11] Quan Lifang, Zhu Lijuan, Ye Yizhen. The application of an external drainage system in postoperative intracranial infection after intracranial aneurysm clipping surgery[J]. Journal of Practical Medical Techniques, 2015, 22(06): 653-654.

[12] Yin Xiuchun, Yin Xiujun, Wang Canzhi. Nursing experience of 15 cases with stubborn subcutaneous effusion after posterior cranial fossa tumor surgery[J]. Journal of Liaoning Medical University, 2016, 37(01): 94-96.

[13] Zou Peng, Li Ao, Wang Kai, et al. Feasibility study of not placing a subcutaneous drainage tube after neurosurgical craniotomy[J]. Guide of China Medicine, 2021, 19(11): 119-120, 125.

[14] Sun Xin. Nursing outcomes in 45 patients after external ventricular drainage surgery[J]. Guide of China Medicine, 2019, 17(23): 236-237.