Comparison of treatment effect on hypertension ventricular hemorrhage using endoscope-controlled operations, Burr-hole craniotomy and urokinase perfusion through ventricular puncture / 中国综合临床

ABSTRACT

Objective To investigate the efficacy,safety and practicability of endoscope-controlled microneurosurgery operations for hypertension ventricular hemorrhage.Methods The efficacy and complications of three operation methods,including endoscope-controlled operation,Burr-hole craniotomy,ventricle puncture and drainage of urokinase infusion,were compared retrospectively.Results The complications of endoscopecontrolled operation was significantly lower than the other two methods(x2 =9.966,P ＜ 0.05).Among the 32patients treated by endoscope-controlled operation,2 patients died after the surgery with a fatality rate of 6.25％.Six months after the surgery,the ADL score estimation showed grade Ⅰ 2 cases,grade Ⅱ 14 cases; grade Ⅲ 11cases ; grade Ⅳ3 cases; grade V2 cases.Compared to the other two groups,there was significant difference(x2 =10.499,P ＜ 0.05).Conclusion Endoscope-controlled operation is an effective and safe method in treating patients with hypertension ventricular hemorrhage with less brain damage,better hemorrhage clearance,and less complications when compared with small bone window craniotomy and ventricle puncture and drainage of urokinase infusion operation methods.