Comparison between the hard channel and soft channel in minimally invasive craniopuncture for intracerebral hemorrhage by Meta analysis
Zhang Taiming
Song Shaoqian
Yu Jian
Zhao Xianlin
Wang Tingzhong
Abstract：Objective To compare the efficacy of hard channel and soft channel of minimally invasive craniopuncture for intracerebral hemorrhage (ICH) by Meta analysis.Methods The literatures in terms of randomized controlled trials (RCT) and case control studies on the hard channel and soft channel for ICH were searched in CNKI,Wanfang,VIP,Pubmed and Embase databases and screened according to the specific inclusion and exclusion criteria.The quality evaluation was made for selected literatures by Newcastle-Ottawa and the original data were extracted.The difference in hematoma clearance rate,postoperative rebleeding,intracranial infection,pulmonary infection,operation time and mortality rate between the two groups were analyzed and compared by Meta analysis using fixed-effect model or random-effect model.Results Thirteen RCT and 5 case control studies were included.There were 849 patients in hard channel group and 853 in soft channel group.Meta analysis showed that the hematoma evacuation rate was higher and the operation time was shorter in the hard channel group than in soft channel group (P ＜ 0.05).No statistical difference was found in postoperative rebleeding,intracranial and lung infections,and mortality between the two groups (P ＞ 0.05).Conclusions The minimally invasive craniopuncture by either hard channel or soft channel is effective method for ICH.However,the former is superior over the latter in hematoma evacuation rate and operation time.
Keywords：intracranial hemorrhageminimally invasive craniopuncturehard channelsoft channelhematoma clearanceMeta analysis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 1-6 )