Objective To investigate endoscopic evacuation of spontaneous intraventricular hemorrhage(IVH)to reduce secondary chronic hydrocephalus.Methods A retrospective analysis was performed for 157 patients with spontaneous IVH admitted to Zhongshan Hospital Affiliated to Xiamen University from September 2020 to September 2022.They were divided into drainage group,microscope group,and neuroendoscopic group.Preoperative Glasgow coma scale(GCS)scores,preoperative modified Glasgow coma scale(mGS)scores,Evan's index,24-hour hematoma clearance rate,surgery time,hospital stay,complications,mortality rate,discharge GCS score,mRS prognostic score,Evan's index,and incidence of hydrocephalus at 6 months after surgery of three groups were compared.Results Compared with the drainage group and the microscope group,the hematoma clearance rate and GCS score at discharge in the neuroendoscopic group were significantly increased(P＜0.05),while the surgical time,hospitalization time,incidence of complications,mortality rate,Evan's index at discharge,mRS score at discharge,and incidence of hydrocephalus at 6 months after surgery were significantly reduced(P＜0.05).Conclusions Spontaneous IVH can be treated with neuroendoscopic surgery to quickly remove most of the hematoma,significantly reduce the incidence of chronic hydrocephalus,and effectively prevent the occurrence of chronic hydrocephalus after IVH.
intraventricular hemorrhageneuroendoscopyhydrocephalusclinical research
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