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Current Medical Science

, Volume 38, Issue 5, pp 880–887 | Cite as

Endoscopic Surgery versus External Ventricular Drainage Surgery for Severe Intraventricular Hemorrhage

  • Ping Song
  • Fa-liang Duan
  • Qiang Cai
  • Jing-lei Wu
  • Xiao-bin Chen
  • Yuan Wang
  • Cong-gang Huang
  • Ji-qiang Li
  • Zhu-qiang He
  • Qiao-chun Huang
  • Mei Liu
  • Yan-gao Zhang
  • Ming LuoEmail author
Article

Abstract

The efficacy and applied value of endoscopic hematoma evacuation vs. external ventricular drainage (EVD) in the treatment of severe ventricular hemorrhage (IVH) were explored and compared. From Jan. 2015 to Dec. 2016, the clinical data of 42 cases of IVH were retrospectively analyzed, including 18 patients undergoing endoscopic hematoma evacuation (group A), and 24 patients receiving EVD (group B). The hematoma clearance rate was calculated by 3D Slicer software, and complications and outcomes were compared between the two groups. There were no significant differences in age, sex and Graeb score between groups A and B (P>0.05). The hematoma clearance rate was 70.81%±27.64% in group A and 48.72%±36.58% in group B with a statistically significant difference (P<0.05). The operative time in groups A and B was 72.45±25.26 min and 28.54±15.27 min, respectively (P<0.05). The Glasgow Coma Scale (GCS) score increased from 9.28±2.72 at baseline to 11.83±2.91 at 1 week postoperatively in group A, and from 8.25±2.62 at baseline to 10.79±4.12 at 1 week postoperatively in group B (P<0.05). The length of hospital stay was 12.67±5.97 days in group A and 17.33±8.91 days in group B with a statistically significant difference (P<0.05). The GOS scores at 6 months after surgery were 3.83±1.12 in group A, and 2.75±1.23 in group B (P<0.05). These results suggested that endoscopic hematoma evacuation has an advantage of a higher hematoma clearance rate, fewer complications and better outcomes in the treatment of severe IVH, indicating it is a safe, effective and promising approach for severe IVH.

Key words

endoscopic surgery severe intraventricular hemorrhage external ventricular drainage 

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Copyright information

© Huazhong University of Science and Technology 2018

Authors and Affiliations

  • Ping Song
    • 1
  • Fa-liang Duan
    • 1
  • Qiang Cai
    • 2
  • Jing-lei Wu
    • 1
  • Xiao-bin Chen
    • 1
  • Yuan Wang
    • 1
  • Cong-gang Huang
    • 1
  • Ji-qiang Li
    • 1
  • Zhu-qiang He
    • 1
  • Qiao-chun Huang
    • 1
  • Mei Liu
    • 3
  • Yan-gao Zhang
    • 1
  • Ming Luo
    • 1
    Email author
  1. 1.Department of Neurosurgerythe First Hospital of WuhanWuhanChina
  2. 2.Department of NeurosurgeryRenmin Hospital of Wuhan UniversityWuhanChina
  3. 3.Intensive Care Unitthe First Hospital of WuhanWuhanChina

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