Severe intraventricular hemorrhage treated with robot-guided ventricular partition puncture drainage
10.3760/cma.j.cn115354-20230411-00225
- VernacularTitle:机器人引导脑室分区穿刺引流术治疗重型脑室内出血研究
- Author:
Changpin LIAO
1
;
Zhonghua LI
;
Tingyang LI
;
Jing YE
;
Lide HUANG
;
Wei WEI
;
Xianfu WEI
;
Haiyan YANG
;
Haitao PAN
;
Wu CHEN
Author Information
1. 百色市人民医院神经外科，百色 533000
- Keywords:
Intraventricular hemorrhage;
Robot-guided surgery;
Puncture drainage;
Ventricular partition
- From:
Chinese Journal of Neuromedicine
2023;22(8):786-793
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and efficacy of robot-guided ventricular partition puncture drainage in severe intraventricular hemorrhage.Methods:A total of 23 patients with severe intraventricular hemorrhage who underwent robot-guided ventricular partition puncture drainage (experimental group) and 19 patients who underwent robot-guided bilateral ventricular puncture drainage (control group) at Department of Neurosurgery, People's Hospital of Baise from January 2021 to December 2021 were included. The differences in residual hematoma volume within 24 h of surgery, drainage tube retention time, mortality rate within 30 d of surgery, incidence of complications (re-bleeding, intracranial infection, pulmonary infection, hydrocephalus) within 6 months of surgery, and scores of Glasgow coma scale (GCS), activity of daily living (ADL), and National Institutes of Health stroke scale (NIHSS) at 6 months after surgery were compared between the 2 groups.Results:Compared with the control group, the experimental group had significantly lower residual hematoma volume within 24 h of surgery ([8.854±3.519] mL vs. [5.668±2.873] mL), shorter drainage tube retention time ([6.580±1.981] d vs. [4.910±2.763] d), lower incidence of hydrocephalus within 6 months of surgery (42.105% vs. 8.696%), and significantly higher GCS and ADL scores and lower NIHSS scores at 6 months after surgery (8.790±2.898 vs. 11.610±2.948; 69.470±12.899 vs. 78.480±12.861; 13.950±5.265 vs. 9.870±4.124, P<0.05). Conclusion:Robot-guided ventricular partition puncture drainage is a safe and effective surgical method for severe intraventricular hemorrhage.
