Neuroendoscopy combined with intraventricular drainage for the treatment of intraventricular hemorrhage(report of 88 cases)
10.3969/j.issn.1002-0152.2025.09.002
- VernacularTitle:神经内镜结合脑室外引流治疗脑室内出血(88例报告)
- Author:
Gang LI
1
;
Biying TANG
;
Chengye LIU
;
Zhen LIU
;
Weidong QIAO
Author Information
1. 三亚中心医院(海南省第三人民医院)神经外科(三亚 572000);海南医科大学第一临床学院
- Publication Type:Journal Article
- Keywords:
Neuroendoscopy;
Intraventricular hemorrhage;
Extraventricular drainage;
Hydrocephalus;
Cerebral hemorrhage
- From:
Chinese Journal of Nervous and Mental Diseases
2025;51(9):521-527
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of minimally invasive neuroendoscopy combined with intraventricular drainage in the treatment of intraventricular hemorrhage.Methods A retrospective analysis was conducted on the clinical data of 88 patients with intraventricular hemorrhage who underwent surgical treatment from January 2018 to December 2023.All patients received bilateral ventricular indwelling external drainage tubes.Among them,37 cases were included in the endoscopy group.The bleeding side or side with more blood accumulation underwent a midline fistula.With the assistance of neuroendoscopy,the intraventricular blood clots were removed and a ventricular drainage tube was inserted.The contralateral ventricle was punctured and a ventricular drainage tube was inserted;The remaining 51 cases were included in the drainage group,in which bilateral ventricular drainage tubes were placed according to the traditional intraventricular drainage protocol.Results There was no significant statistical difference(P>0.05)between the endoscopic group and the drainage group in terms of mortality rate(10.8%vs.13.7%),rebleeding rate(8.1%vs.11.8%,P=0.576),intracranial infection rate(10.8%vs.17.6%,P=0.372),and hydrocephalus rate(10.8%vs.23.5%,P=0.166).Similarly,no significant statistical difference was found in the total hospitalization cost between the endoscopy group and the drainage group[(90700±73000)yuan vs.(99500±66000)yuan]and the GOS score during the 6-month follow-up(3.16±1.14 vs 3.02±1.12)showed(P>0.05).However,the postoperative GCS score improvement was significantly better in the endoscopic group than in the drainage group[2.00(2.00,4.00)vs.1.00(0.00,3.00),P=0.002].The duration of the extracranial drainage catheter placement was significantly shorter in the endoscopic group than in the drainage group[(7.16±2.99)days vs.(10.12±3.93)days,P<0.001].Conclusion Neuroendoscopy-assisted evacuation of intraventricular hemorrhage facilitates effective hematoma clearance,reduces the duration of ventricular drainage catheterization,and may contribute to improved patient outcomes.
