Therapeutic effects of hematoma removal by neuroendoscopy or craniotomy on thalamic hemorrhage
10.3760/cma.j.cn115354-20200724-00599
- VernacularTitle:神经内镜与开颅显微镜下血肿清除术治疗丘脑出血的疗效分析
- Author:
Qi ZHONG
1
;
Nan JIANG
;
Jun GUO
;
Guan SUN
Author Information
1. 盐城市第一人民医院神经外科 224006
- Keywords:
Thalamic hemorrhage;
Hematoma removal;
Neuroendoscopy;
Minimal invasion
- From:
Chinese Journal of Neuromedicine
2021;20(2):177-181
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of hematoma removal by neuroendoscopy or craniotomy on thalamic hemorrhage.Methods:Eighty-three patients with thalamic hemorrhage, admitted to our hospital from September 2016 to March 2019, were chosen in our study; 44 patients accepted hematoma removal by neuroendoscopy and 39 patients accepted hematoma removal by craniotomy under microscope. These patients were divided into severe type ( n=55) and mild type ( n=28) according to Glasgow coma scale scores at admission. The efficacy and safety of the two procedures were compared. Patients were followed up until one year after onset, and their recovery was assessed by Glasgow outcome scale (GOS). Results:As compared with those in the craniotomy group, patients in the neuroendoscopy group had significantly small volume of intraoperative blood loss ([284.90±31.74] mL vs. [45.70±6.94] mL), significantly shorter hospital stays ([18.40±2.75] d vs. [14.70±2.13] d), and statistically lower incidence of epilepsy (15.4% vs. 2.3%, P<0.05). In critical survived patients, the GOS scores in the endoscopic group were 4.99±0.48 until one year after onset, which were significantly higher than those in the craniotomy group (2.64±0.41, P<0.05). Conclusion:As compared with hematoma removal by craniotomy, that by neuroendoscopy has the advantages of minimal invasion, good visual field, and high efficiency in the treatment of thalamic hemorrhage.
