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Evacuation of spontaneous supratentorial intracerebral hematoma with double targets-single channel and multiaxial stereotaxis / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences ; (6): 376-382, 2015.
Article in Chinese | WPRIM | ID: wpr-255181
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the efficacy and safety of evacuation of spontaneous supratentorial hemorrhage with double targets-single channel and multiaxial stereotaxis.</p><p><b>METHODS</b>Thirty-four patients with supratentorial intracerebral hemorrhage, who underwent hematoma evacuation with the method of double targets-single channel between January 2014 and November 2014 in the Second Affiliated Hospital, Zhejiang University School of Medicine, were included in the study. We classified the hematoma into four types based on the principle of double targets-single channel calculation method (DTSC). And the appropriate stereotactic surgery path and operation opportunity were designed individually according to the hematoma volume and mass effect. Twenty-seven patients with supratentorial hemorrhage who underwent hematoma evacuation with the method of single targets-single channel between January 2013 and November 2014 were selected as single target group.</p><p><b>RESULTS</b>Volumes of initial hematoma in DTSC and single target groups were(38.6 ± 19.2)mL and(40.1 ± 18.1)mL, respectively. Initial Glasgow Coma Scale were 9.6 ± 3.2 (3~15) and 9.1 ± 2.9(3~13) (all P >0.05). Residual volume of hematoma and clearance ratio were (11.1 ± 4.2) mL and(73.1 ± 5.4)% in DTSC group and (18.5 ± 5.3) mL and(55.1 ± 5.1)% in single target group by CT scan 24 h after operation(all P <0.05). There was no significant difference in Glasgow Outcome Scale between two groups in one-month follow-up. Average length of postoperative stay of two groups were(12.6 ± 9.8)d and (14.2 ± 7.1)d, respectively.</p><p><b>CONCLUSION</b>Evacuation of spontaneous supratentorial intracerebral hematoma with DTSC and multi-axial stereotaxis can increase clearance ratio remarkably and decrease average length of stay.</p>
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Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Tomography, X-Ray Computed / Glasgow Coma Scale / Cerebral Hemorrhage / Treatment Outcome / Classification / Imaging, Three-Dimensional / Hematoma Limits: Humans Language: Chinese Journal: Journal of Zhejiang University. Medical sciences Year: 2015 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Tomography, X-Ray Computed / Glasgow Coma Scale / Cerebral Hemorrhage / Treatment Outcome / Classification / Imaging, Three-Dimensional / Hematoma Limits: Humans Language: Chinese Journal: Journal of Zhejiang University. Medical sciences Year: 2015 Type: Article