Minimally invasive surgery for ventricular hemorrhage cast:neuroendoscope assisted surgery vs microsurgery
LONG Yong
ZENG Chun
TANG Shuang
XING Wen-li
ZHANG Shi-yuan
SHI Hai-ping
WANG Juan
Abstract：Objective To evaluate the effectiveness and safety of treatment of ventricular hemorrhage cast with neuroendoscope assisted surgery and microsurgery.Methods Forty patients with intraventricular hemorrhage cast treated in our department from June, 2015 to October,2016 were randomly divided into neuroendoscope-assisted surgery group(n=20)and microsurgery group(n=20).The rate of evacuation of hematomas 24 hours after the surgery, draining duration, rate of occurrence of postoperative complications (bleeding,intracranial infection and shunt dependent hydrocephalus),GCS score on discharge,Barthel score 6 months after the treatment were compared between both the groups. Results The rate of evacuation of hematomas 24 hours after the surgery, GCS scores on discharge and Barthel scores 6 months after the treatment were significantly higher in the neuroendoscope-assisted surgery group than those in the microsurgery group(P<0.05).The drainage duration was significantly shorter in the in the neuroendoscope assisted surgery group than that in the microsurgery group (P<0.05). There was insignificant difference in the rates of occurrence of postoperative complications between the two groups (P>0.05). Conclusions The neuroendoscopie-assited surgery by which the intraventricular hematomas cast is evacuated has the advantages including minimal invasiveness,high efficiency and little impact on brain function and so on.It was worthy of clinical application and popularization.
Keywords：Ventricular hemorrhage castNeuroendoscope assisted surgeryMicrosurgeryCurative effects
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 158-160 )