Analysis of the Role of Neuroendoscopic Hematoma Evacuation in the Treatment of Severe Intraventricular Hemorrhage with Intraventricular Clot Formation
Analysis of the Role of Neuroendoscopic Hematoma Evacuation in the Treatment of Severe Intraventricular Hemorrhage with Intraventricular Clot Formation
Objective:To clarify the clinical value of neuroendoscopic hematoma evacuation in treating severe intraventricular hemorrhage with intraventricular clot formation.Methods:Ninety-six patients from our hospital were randomly divided into a control group and an observation group(n=48 each)using a random number table.The control group underwent lateral ventricular drainage,while the observation group received neuroendoscopic hematoma evacuation.Preoperative and postoperative mGS scores,postoperative urokinase dos-age,catheter retention time,complications,and treatment efficacy were compared between the two groups.Results:There was no significant difference in preoperative mGS scores between the two groups,but postoperative scores were significantly lower in the observation group compared to the control group(P<0.05).Postoperatively,the observation group used less urokinase,had shorter catheter retention times,and experi-enced a lower rate of complications compared to the control group(all P<0.05).Moreover,the total effective rate of treatment was higher in the observation group than in the control group(P<0.05).Conclusion:Neu-roendoscopic hematoma evacuation for patients with severe intraventricular hemorrhage and clot formation is ben-eficial for improving clinical symptoms and reducing the incidence of complications.
关键词
神经内镜血肿清除术/重型脑室出血并铸型/治疗效果
Key words
Neuroendoscopic Hematoma Evacuation/Severe Intraventricular Hemorrhage with Intravent-ricular Clot Formation/Treatment Efficacy