Analysis of three surgical treatments for spontaneous supratentorial intracerebral hemorrhage.
This retrospective study aimed to evaluate the effectiveness and safety of 3 surgical procedures for Spontaneous Supratentorial Intracerebral Hemorrhage (SICH).A total of 63 patients with SICH were randomized into 3 groups. Group A (n = 21) underwent craniotomy surgery, group B (n = 22) underwent bu...
| Publicado en: | Medicine Vol. 96; no. 43; pp. 1 - 10 |
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| Autores principales: | , , , , , , , , , , , , , , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
10/27/2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126269650&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126269650 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: 10/27/2017 vid: 96 iid: 43 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 126269650 126269650 NLM29069046 126269650 10.1097/MD.0000000000008435 NLM29069046 126269650 ppf: 1 ppct: 9 formats: tig: atl: Analysis of three surgical treatments for spontaneous supratentorial intracerebral hemorrhage. aug: au: Qiang Cai Huaping Zhang Dong Zhao Zhaohui Yang Keqi Hu Long Wang Wenfei Zhang Zhibiao Chen Qianxue Chen Cai, Qiang Zhang, Huaping Zhao, Dong Yang, Zhaohui Hu, Keqi Wang, Long Zhang, Wenfei Chen, Zhibiao Chen, Qianxue affil: Department of Neurosurgery, Renmin Hospital of Wuhan University, Hubei Province, China. sug: subj: Cerebral Hemorrhage Surgery Drainage Methods Craniotomy Methods Hematoma Surgery Endoscopy Methods Glasgow Coma Scale Human Random Assignment Adult Female Male Aged Endoscopy Adverse Effects Middle Age Drainage Adverse Effects Treatment Outcomes Craniotomy Adverse Effects Hematoma Mortality Retrospective Design Cerebral Hemorrhage Mortality Validation Studies Comparative Studies Evaluation Research Multicenter Studies Scales Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: This retrospective study aimed to evaluate the effectiveness and safety of 3 surgical procedures for Spontaneous Supratentorial Intracerebral Hemorrhage (SICH).A total of 63 patients with SICH were randomized into 3 groups. Group A (n = 21) underwent craniotomy surgery, group B (n = 22) underwent burr hole, urokinase infusion and catheter drainage, and group C (n = 20) underwent neuroendoscopic surgery. The hematoma evacuation rate of the operation was analyzed by 3D Slice software and the average surgery time, visualization during operation, decompressive effect, mortality, Glasgow Coma Scale (GCS) improvement, complications include rebleeding, pneumonia, intracranial infection were also compared among 3 groups.All procedures were successfully completed and the hematoma evacuation rate was significant differences among 3 groups which were 79.8%, 43.1%, 89.3% respectively (P < .01), and group C was the highest group. Group B was smallest traumatic one and shared the shortest operation time, but for the lack of hemostasis, it also the highest rebleeding group (P = .03). Although there were different in complications, but there was no significant in pneumonia, intracranial infection, GCS improvement and mortality rate.All these 3 methods had its own advantages and shortcomings, and every approach had its indications for SICH. Although for neuroendoscopic technical's minimal invasive, direct vision, effectively hematoma evacuation rate, and the relatively optimistic result, it might be a more promising approach for SICH. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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