Dong Jun, Jiang Zirong, Chen Jin, Huang Ning, Chen Junjie, Liu Guodong
a Department of Neurosurgery , The Second Affiliated Hospital of Soochow University , Suzhou , China.
b Changyi People's Hospital , Changyi , China.
Br J Neurosurg. 2019 Jun;33(3):348-351. doi: 10.1080/02688697.2018.1559273. Epub 2019 Jan 29.
This retrospective study aimed to compare the efficacy of evacuation assisted by endoscopy and CT-guided minimally invasive aspiration for supratentorial intracerebral hematoma (SICH). Total 81 patients were classified into two groups to receive evacuation assisted by endoscopy or CT-guided minimally invasive aspiration. The therapeutic outcomes were compared between two groups. The evacuation rate was significantly higher while infection rate was significantly lower in endoscopy group than in minimally invasive aspiration group ( < .05). Mortality rate showed no significant difference between the two groups. The patients operated within six hours had better outcome than those operated between 6-24 h ( < .05). For the patients with SICH, evacuation assisted by endoscopy is recommended for significantly shorter hospital stay and lower cost compared with CT-guided minimally invasive aspiration.
这项回顾性研究旨在比较内镜辅助下血肿清除术与CT引导下微创穿刺抽吸术治疗幕上脑内血肿（SICH）的疗效。总共81例患者被分为两组，分别接受内镜辅助下血肿清除术或CT引导下微创穿刺抽吸术。比较两组的治疗效果。内镜组的血肿清除率显著高于微创穿刺抽吸组，而感染率显著低于微创穿刺抽吸组（P＜0.05）。两组的死亡率无显著差异。6小时内接受手术的患者预后优于6 - 24小时内接受手术的患者（P＜0.05）。对于幕上脑内血肿患者，与CT引导下微创穿刺抽吸术相比，推荐采用内镜辅助下血肿清除术，因其住院时间明显缩短且费用更低。
