CT imaging features of patients with chronic hydrocephalus after intracerebral hemorrhage and comparison of therapeutic effects of ETV and VPS
10.3760/cma.j.cn431274-20240422-00691
- VernacularTitle:脑出血术后慢性脑积水患者CT影像特征及ETV与VPS的治疗效果比较
- Author:
Shuai ZHANG
1
;
Qiang PAN
1
;
Zhenrui LIU
1
;
Zongfei JIANG
1
;
Feng SI
1
;
Fengjia LI
1
;
Chunyu SONG
1
Author Information
1. 山东第一医科大学附属人民医院（济南市人民医院）神经外科，济南市神经肿瘤分子生物学重点实验室，济南 250102
- Publication Type:Journal Article
- Keywords:
Cerebral hemorrhage;
Hydrocephalus;
Computed tomography;
Endoscopic third ventriculostomy;
Ventricular peritoneal shunt
- From:
Journal of Chinese Physician
2025;27(2):210-214
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the computed tomography (CT) imaging features of patients with chronic hydrocephalus after intracerebral hemorrhage surgery and the difference between endoscopic third ventriculostomy (ETV) and ventricular peritoneal shunt (VPS).Methods:A total of 158 patients with intracerebral hemorrhage who received surgical treatment in the Department of Neurosurgery of the People′s Hospital of Jinan from January 2021 to June 2023 were retrospectively selected as the study objects, including 78 patients with chronic hydrocephalus after surgery as the hydrocephalus group, and 80 patients with no hydrocephalus after surgery as the non-hydrocephalus group, and the CT imaging data of the patients were statistically analyzed. Hydrocephalus group was divided into ETV group (42 cases) and VPS group (36 cases) according to different treatment methods. The efficacy and quality of life of the two groups were compared, and the incidence of complications in the two groups were counted.Results:There was no significant difference between hydrocephalus group and non-hydrocephalus group in the site of cerebral hemorrhage, hematoma morphology and the proportion of patients with mixed signs, lobular signs and black hole signs (all P>0.05). The proportion of patients with ventricular dilation and hematoma enlargement in hydrocephalus group was significantly higher than that in non-hydrocephalus group (all P<0.05). The National Institute of Health Stroke Scale (NIHSS) scores of hydrocephalus patients in the two groups were measured continuously at different time points, and there was no significant difference in NIHSS scores between the ETV group and the VPS group before treatment, at 2 weeks and 4 weeks of treatment (all P>0.05). There was no significant difference between the ETV group and the VPS group ( P>0.05). The recurrence rate of the ETV group was lower than that of the VPS group ( P<0.05). The quality of life scores of patients in ETV group were higher than those in the VPS group at 3 months and 6 months after surgery ( P<0.05). Conclusions:CT examination of patients with chronic hydrocephalus after intracerebral hemorrhage will show obvious characteristics of hematoma enlargement and ventricle enlargement. The efficacy of ETV and VPS in the treatment of chronic hydrocephalus after intracerebral hemorrhage surgery is similar, but the former has a lower recurrence rate and a higher postoperative quality of life.
