Advantages of surgical treatment aided by neuroendoscopy for massive intracerebral hemorrhage breaking into ventricle
10.3760/cma.j.issn.1671-8925.2017.11.004
- VernacularTitle:神经内镜辅助下手术治疗脑出血并破入脑室的优势研究
- Author:
Youbi SHEN
1
;
Daojin XUE
;
Zizhuang PENG
;
Chuangnan LI
;
Tao HUANG
Author Information
1. 广东省中医院神经外科
- Keywords:
Neuroendoscope;
Cerebral hemorrhage;
Brain parenchyma;
Intraventricular;
Obstructive hydrocephalus
- From:
Chinese Journal of Neuromedicine
2017;16(11):1102-1106
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the advantages of neuroendoscope assisted surgery for cerebral hemorrhage breaking into ventricles.Methods Fifty patients with cerebral hemorrhage breaking into ventricles,admitted to our hospital from January 2013 and December 2016,were retrospectively studied;25 patients in observation group were performed evacuation of brain parenchyma and intraventricular hematoma under neuroendoscope and intubation draina,while 25 patients in control group were performed intraventricular drainage and evacuation of hematoma under microscope.Time of carrying tube,intracranial infection rate,intraventricular hematoma clearance rate,and Glasgow coma scale (GCS) scores were analyzed in the two groups.Results The patients from the observation group had shorter time of carrying tube ([4.0±1.9] d),lower intracranial infection rate (12％),and higher GCS scores 7 d after operation (11.1±2.3) than patients from the control group ([7.0±2.1) d,36％,9.0±2.8) with statistical differences (P＜0.05).The intraventricular hematoma clearance rate in the observation group on the 1st,3rd and 7rd d of operation (60.12％±10.23％,70.75％±17.21％,83.36％±8.64％) was significantly higher than that in the control group (25.35％±11.35％,50.48％±13.90％,65.75％±9.32％,P＜0.05).Conclusion The surgical treatment aided by ventriculoscope for intracerebral hemorrhage breaking into ventricle has advantages in shortening the extubation time,reducing the incidence of infection and improving the prognosis.
