Efficacy of Neuroendoscopic Surgery in the Treatment of Intraventricular Hemorrhage

Yi GONG; Wenkui YANG; Lin LIU; Dongyu ZHAI

doi:10.12259/j.issn.2095-610X.S20230814

Volume 44 Issue 8

Aug. 2023

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Yi GONG, Wenkui YANG, Lin LIU, Dongyu ZHAI. Efficacy of Neuroendoscopic Surgery in the Treatment of Intraventricular Hemorrhage[J]. Journal of Kunming Medical University, 2023, 44(8): 91-94. doi: 10.12259/j.issn.2095-610X.S20230814

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Yi GONG, Wenkui YANG, Lin LIU, Dongyu ZHAI. Efficacy of Neuroendoscopic Surgery in the Treatment of Intraventricular Hemorrhage[J]. Journal of Kunming Medical University, 2023, 44(8): 91-94. doi: 10.12259/j.issn.2095-610X.S20230814

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Efficacy of Neuroendoscopic Surgery in the Treatment of Intraventricular Hemorrhage

doi: 10.12259/j.issn.2095-610X.S20230814

Dept. of Neurosurgery，The Third People’s Hospital of Yunnan Province，Kunming Yunnan 650011，China

Received Date: 2023-04-17
Available Online: 2023-09-02
Publish Date: 2023-08-30

Abstract

Abstract

Objective To evaluate the efficacy of neuroendoscopic surgery in the treatment of intraventricular hemorrhage. Methods The clinical data of 60 cases of intraventricular hemorrhage were analyzed, including 30 cases of endoscopic intracranial hematoma removal combined with intracranial pressure monitoring external drainage operation group （endoscope + drainage group） and 30 cases of intracranial pressure monitoring external drainage operation group （drainage group）. The hematoma clearance rate, operation time, intraoperative blood loss, retention time of drainage tube, hospitalization days and GCS score 1 week after operation were compared between the two groups. Results There was no significant difference in preoperative clinical data between the two groups （P > 0.05）. The hematoma clearance rate was （98.4±1.1） % in the endoscopic + drainage group and （50.1±5.4） % in the drainage group （P < 0.05）. The operation time was （51.1±6.5） min in the endoscopic plus drainage group and （39.7±8.4） min in the drainage group （P < 0.05）. The intraoperative blood loss was （35.1±5.5） mL in the endoscopic plus drainage group and （31.1±4.4） mL in the drainage group （P > 0.05）. The indwelling time of drainage tube was （2.5±1.3） days in the endoscopic plus drainage group and （7.1±2.3） days in the drainage group （P < 0.01）. The length of hospital stay was （7.5±2.1） days in the endoscopic plus drainage group and （14.2±1.3） days in the drainage group （P < 0.01）. The 1-week postoperative GCS score was 12.1±1.5 in the endoscope-plus-drainage group and 9.2±1.4 in the drainage group （P < 0.01）. Conclusion Neuroendoscopic surgery can effectively remove intraventricular hemorrhage and significantly improve the prognosis of patients.
- Neuroendoscopy,
- Intraventricular hemorrhage,
- Hematoma removal

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