Clinical efficacy of surgery via endoscopic-assisted transcallosal approach in intraventricular hemorrhage
10.3760/cma.j.cn115354-20201126-00923
- VernacularTitle:神经内镜辅助下经胼胝体入路治疗脑室出血的临床疗效分析
- Author:
Jingpeng GUO
1
;
Lanjun XIE
;
Lingtao QIAN
;
Yongzhi WANG
;
Weidong LIANG
;
Liang NING
;
Jun LIU
Author Information
1. 安徽省阜阳市人民医院神经外科 236000
- Keywords:
Intraventricular hemorrhage;
Transcalcallosal approach;
Endoscope
- From:
Chinese Journal of Neuromedicine
2021;20(9):941-944
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of surgery via endoscopic-assisted transcallosal approach in intraventricular hemorrhage (IVH).Methods:A retrospective study was performed; the clinical data of 68 IVH patients admitted to our hospital from October 2016 to January 2020 were analyzed. These patients were divided into endoscopic treatment group ( n=34) and drainage group ( n=34) according to the treatment methods. In the endoscopic treatment group, IVH was evacuated via endoscopic-assisted transcallosal approach; in the drainage group, external ventricular drainage and urokinase injection were performed. Gross hematoma clearance rate (clearance rate≥95%) 1, 3, and 7 d after surgery, complication incidence 7 d and 1 month after surgery, and good prognosis rate (ability of daily living [ADL] grading I-III) 3 months after surgery were compared between the two groups. Results:One, 3, and 7 d after surgery, the gross hematoma clearance rate in the endoscopic treatment group was significantly higher than that in the drainage group ( P<0.05). The recurrent hemorrhage rate within 7 d of surgery, intracranial infection rate, and percentage of patients with secondary hydrocephalus requiring shunt within 30 d of surgery in the endoscopic treatment group were significantly lower than those in the drainage group (2.9% vs. 20.6%, 2.9% vs. 23.5%, 5.9% vs. 17.6%, P<0.05). Three months after follow-up, the good prognosis rate of patients in the endoscopic treatment group was significantly higher than that in the drainage group (91.2% vs. 58.9%, P<0.05). Conclusion:Endoscopic-assisted transcallosal approach is recommended in clinical treatment of IVH, which can significantly reduce postoperative complications and improve postoperative prognosis.
