Clinical Research
Clinical outcomes of endoscopic and microsurgical treatments in patients with hypertensive basal ganglia hemorrhage
Qinwei Zhou, Min Liu, Xiaodong Xi, Binquan Xu, Junjie Chen, Jirong Dong, Jun Dong
Published 2018-03-15
Cite as Chin J Neuromed, 2018, 17(3): 301-305. DOI: 10.3760/cma.j.issn.1671-8925.2018.03.015
Abstract
ObjectiveTo evaluate the clinical outcomes of endoscopic and microsurgical treatments in patients with hypertensive basal ganglia hemorrhage (HBGH).
MethodsA retrospective analysis of clinical features of 37 patients received microsurgical treatment via transsylvian-transinsular approach or 32 patients received endoscopic treatment for evacuation of HBGH in our hospital from January 2011 to January 2015 was performed. The operation time, hematoma clearance rate, re-bleeding rate and prognoses of the patients were investigated.
ResultsAs compared with patients accepted microsurgical treatment, patients accepted endoscopic treatment had significantly shorter operation time, smaller peroperative bleeding volume, and shorter hemostatic time (P<0.05). The preoperative Glasgow coma scale (GCS) scores in patients accepted endoscopic treatment and microsurgical treatment were 8.63±1.24 and 8.67±1.31, without significant difference (P>0.05); 24 h after operation, GCS scores in patients accepted endoscopic treatment increased to 12.79±1.20, which had significant difference as compared with those in patients accepted microsurgical treatment (11.23±1.29, P<0.05). The cerebral edema volume in patients accepted endoscopic treatment and microsurgical treatment was (11.83±4.08) mL and (18.76±7.92) mL, with significant difference (t=6.460, P=0.000). The hematoma clearance and prognosis in patients accepted endoscopic treatment were better than those in patients accepted microsurgical treatment.
ConclusionEndoscopic evacuation of hematoma for HBGH is efficient and safe, enjoying better efficacy than microsurgery.
Key words:
Hypertensive cerebral hemorrhage; Neuroendoscopy; Microsurgery
Contributor Information
Qinwei Zhou
School of Medicine, Jiangsu University, Zhenjiang 212013, China
Min Liu
Department of Neurosurgery, Xishan People's Hospital of Wuxi, Wuxi 214000, China
Xiaodong Xi
Department of Neurosurgery, Xishan People's Hospital of Wuxi, Wuxi 214000, China
Binquan Xu
Department of Neurosurgery, Xishan People's Hospital of Wuxi, Wuxi 214000, China
Junjie Chen
Department of Neurosurgery, Xishan People's Hospital of Wuxi, Wuxi 214000, China
Jirong Dong
School of Medicine, Jiangsu University, Zhenjiang 212013, China
Jun Dong
Department of Neurosurgery, Second Hospital of Soochow University, Suzhou 215000, China
