Neuroendoscopic treatment for non-acute traumatic intracranial hematoma: an efficacy and safety analysis
10.3760/cma.j.cn115354-20200407-00253
- VernacularTitle:神经内镜技术治疗非急性期创伤性颅内血肿的疗效和安全性研究
- Author:
Haichun LI
1
;
Yanxin LI
;
Haixing GUO
;
Rongjun QIAN
Author Information
1. 河南省人民医院，河南大学人民医院神经外科，郑州 450003
- Keywords:
Neuroendoscopy;
Non-acute stage;
Traumatic intracranial hematoma;
Minimal invasion
- From:
Chinese Journal of Neuromedicine
2020;19(9):937-940
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of neuroendoscopy in the treatment of non-acute traumatic intracranial hematoma.Methods:Thirty-six patients with non-acute traumatic intracranial hematoma, admitted to our hospital from June 2018 to December 2019, were chosen in our study. These patients accepted small-bone window craniotomy and straight incision, or removal of intracranial hematoma by neuroendoscopy. The clinical data of these patients were retrospectively analyzed. Pain numerical rating scale (NRS) was used to assess degrees of pain in 22 patients with headache one d before surgery and three d after surgery. The neurological functions after treatment were evaluated by activity of daily living (ADL) evaluation criteria one d before surgery and 7 d after surgery.Results:All 36 patients were cured and discharged from hospital, and no death was noted; length of hospital stays was (6.7±1.1) d. No secondary hemorrhage re-craniotomy was needed, no postoperative complications such as cerebrospinal fluid leakage were noted, and no re-injection of urokinase was needed to melt the hematoma. As compared with the preoperative NSR scores (7.82±1.097), the postoperative NSR scores of 22 headache patients were significantly decreased (1.05±0.653, P<0.05). In these 36 patients, preoperative ADL level I was noted in 8 patients, level II in 14 patients, level III in 12 patients, and level IV in 2 patients. Postoperative nerve function in 30 patients were fully recovered, with ADL level I; and 6 patients had mild symptom of dizziness, with ADL level II. Conclusion:Non-acute traumatic intracranial hematoma treated by neuroendoscopy enjoys good curative effect, less surgical trauma, short hospital stays and high safety.
