Traditional craniotomy versus current minimally invasive surgery for spontaneous supratentorial intracerebral haemorrhage:A propensity-matched analysis
作者机构：Hengyang Key Laboratory of Hemorrhagic Cerebrovascular DiseaseDepartment of NeurosurgeryHengyang Medical SchoolUniversity of South ChinaHengyang 421000Hunan ProvinceChina Department of AnatomyHengyang Medical SchoolUniversity of South ChinaHengyang 421000Hunan ProvinceChina
出 版 物：《World Journal of Radiology》 (世界放射学杂志（英文版）（电子版）)
年 卷 期：2024年第16卷第8期
页 面：317-328页
学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）]
基 金：Supported by The Technology Innovation Guidance Programme of Science and Technology,Department of Hunan Province,No.2020SK51708 The Scientific Research Programme of Hunan Provincial Health Commission,No.B2019110 and No.20201959 The Hunan Nature Science Foundation,No.S2023JJMSXM1898
主 题：Cerebral haemorrhage Intracerebral haemorrhage Minimally invasive surgery Craniotomy Propensity-matched analysis
摘 要：BACKGROUND Minimally invasive surgery(MIS)and craniotomy(CI)are the current treatments for spontaneous supratentorial cerebral haemorrhage(SSTICH).AIM To compare the efficacy and safety of MIS and CI for the treatment of *** Clinical and imaging data of 557 consecutive patients with SSTICH who underwent MIS or CI between January 2017 and December 2022 were retrospectively *** patients were divided into two subgroups:The MIS group and CI *** score matching was performed to minimise case selection *** primary outcome was a dichotomous prognostic(favourable or unfavourable)outcome based on the modified Rankin Scale(mRS)score at 3 months;an mRS score of 0–2 was considered *** In both conventional statistical and binary logistic regression analyses,the MIS group had a better *** outcome of propensity score matching was unexpected(odds ratio:0.582;95%CI:0.281–1.204;P=0.144),which indicated that,after excluding the interference of each confounder,different surgical modalities were more effective,and there was no significant difference in their *** Deciding between MIS and CI should be made based on the individual patient,considering the hematoma size,degree of midline shift,cerebral swelling,and preoperative Glasgow Coma Scale score.
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