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endoscopic surgery for intraventricular hemorrhage:A comparative study and single center surgical experience

World Journal of Clinical Cases 2022年第16期10卷 5208-5216页

作者： Feng-Bo Wang Xiao-Wa Yuan Jin-Xiao Li Ming Zhang Zhao-Hui Xiang Department of Neurosurgery Xinyi People's HospitalXinyi 221400Jiangsu ProvinceChina

BACKGROUND Intraventricular hemorrhage is a neurosurgical emergency,and a dangerous condition associated with high morbidity and ***,hematoma evacuation is generally executed by external intracranial drainage(EVD)or surgical ***,endoscopic evacuation is emerging as a good alternative because it brings relatively less invasion and ***,successful endoscopic evacuation requires skilled manipulation of endoscopic devices and the evidence supporting its efficacy differs in different *** To improve the technique usage and provide more evidence of endoscopic evacuation efficacy,we summarize our surgical experience and compared the outcomes of the endoscopic evacuation with EVD using real-world *** We retrospectively studied 96 consecutive patients with intraventricular hemorrhage who underwent either endoscopic surgery(n=43)or non-endoscopic surgery(n=53)for hemorrhage evacuation between November 2013 and September 2019 in our ***’conditions prior to and after the operation were evaluated and analyzed to assess the efficacy of the *** consciousness status improvement and perioperative in-hospital parameters in the two types of operation groups were assessed and *** Patients in the endoscopic and non-endoscopic groups presented with a similar state of consciousness,with a comparable Glasgow Coma Scale(GCS)*** average operation time of the endoscopic group was longer than that of the nonendoscopic group(median 2.42 h vs 1.08 h,Pendoscopic group was older and had a baseline Graeb score that indicated more severe hemorrhage than the non-endoscopic group(Graeb median:endoscopic group=9 vs non-endoscopic group=8,P=0.023),the clearance rate of hematoma was as high as 60.5%.Both the endoscopic and non-endoscopic groups showed an improved GCS index after ***,this improvement was more marked in patients in the endoscopic group(median improvement of G

关键词： Ventriculoscope Intraventricular hemorrhage Minimal invasion Ventricular irrigation fluid endoscopic evacuation Efficacy

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