Neuroendoscopic surgery for thalamic hemorrhage broken into ventricle
DIAO Xun
DONG Ce
ZHU Lin
PAN Baogen
YE Zhanying
ZHANG Xiaoyang
WANG Cong
MO Feng
Abstract：To explore the curative effect of early neuroendoscopic removal of intraventricular hematoma combined with endoscopic third ventriculostomy (ETV) on the thalamic hemorrhage broken into the ventricle. Methods Of 68 patients with thalamic hemorrhage broken into ventricles treated in our department from July, 2011 to July, 2015, 36 (observed group) were treated by neuroendoscopic hematoma removal of intraventricular hematomas combined with ETV and postoperative external ventricular drainage ( EVD), 32 (control group) by EVD combined with injection of urokinase into hematoma cavities. All the patients were postoperatively followed up from 12 to 26 months. The curative effects were compared between both the groups. Results The follow-up results showed that the effective rate (86.1%, 31/36) was significantly higher in the observed group and that (62.5%, 20/32) in the control group (P<0.05). Conclusion The treatment of thalamic hemorrhage broken into ventricles by neuroendoscopic surgery combined with ETV is safe and effective, because it can significantly reduce the incidence of shunt-dependent hydrocephalus and significantly improve the long-term prognosis in the patients with thalamic hemorrhage broken into ventricles.
Keywords：Thalamic hemorrhageIntraventricular hematomasNeuroendoscopyExternal ventricular drainageHydrocephalus
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 516-518 )