摘要
Abstract
Objective To compare the efficacy of endoscopic management vs.craniotomic hematoma evacuation on hyper-tensive intracerebral hemorrhage(HICH).Methods A retrospective analysis of 126 patients with HICH,in which,58 were treated with endoscopic management(experimental group,EG),and 68 were craniotomic hematoma evacuation(control group,CG),Chi-Square and t tests were used to compare the operative time,intraoperative blood loss,hematoma clearance and Glasgow outcome scale(GOS)between the two groups,then Logistic analysis was used to detect the affecting factors of the prognosis.Results Op-erative time was significantly shorter(t=-15.126,P<0.001),intraoperative blood loss was significantly less(t=-9.591,P<0.001),and hematoma was significantly higher(t=2.289,P=0.024)in EG than that in CG;the distribution of GOS between the two groups was significant difference(χ2=10.843,P=0.028);whether or not broken into ventricles was a prognostic factor(P=0.045,OR=0.646,95%CI 0.447-1.245).Conclusion Neuroendoscope is more efficacy than craniotomy in HICH,although af-fected by breaking into the ventricle,it is worthy for clinical application.关键词
神经内镜/开颅血肿清除术/高血压脑出血Key words
Neuroendoscope/Craniotomic hematoma evacuation/Hypertensive intracerebral hemorrhage分类
医药卫生
