Comparative Study Of Neuroendoscopic And Microsurgery And Ventricular Drainage In The Treatment Of Intraventricular Hemorrhage

Objective:Intraventricular hemorrhage is a common critical condition for neurosurgery.It has the characteristics of acute onset,rapid progression,severe illness,high mortality and disability,and poor prognosis.However,there are many kinds of surgical procedures used in clinical practice.Therefore,the purpose of this study is to compare and analyze the efficacy of three surgical methods of neuroendoscopic and ventricular drainage and microsurgery in intraventricular hemorrhage in order to provide a theoretical reference for surgical treatment of patients with intraventricular hemorrhage.Methods:The 90 cases of intraventricular hemorrhage treated with surgical treatment from September 2015 to January 2017 in our department of neurosurgery were selected and divided into three groups according to the surgical procedure.The first group was a neuroendoscopic group consisting of 30 cases;the second group was a microsurgery group consisting of 22 cases;and the third group was a ventricular drainage group consisting of38 cases.Comparing the residual rate of hematoma at 12 hours after operation,postoperative complications,postoperative half-life ability,postoperative drainage tube extubation time and average length of hospital stay in the three groups,comprehensive analysis of curative effect.Results:1.The residual rate of hematoma in the 12 hours after the three surgical operations was statistically significant,and the residual rate of hematoma in the neuroendoscopic group was the lowest,and the remaining rate of hematoma in the ventricular drainage group was the highest.2.There was a statistically significant difference in the incidence ofpostoperative complications among the three types of surgery.The postoperative complication rate in the neuroendoscopic group was the lowest(13.3%),the microsurgery group was centered at 36.4%,and the ventricular drainage group had the highest rate of63.2%.3.The ADL score for six months after surgery was lower in the neuroendoscopic group than in the ventricular drainage group and the microsurgery group,and the difference was statistically significant.4.The average extubation time was(2.67±0.55)days,(4.36 ±0.73)days,and(6.05 ±1.45)days in the neuroendoscopic group and the microsurgery group and the ventricular drainage group,and the difference was statistically significant.5.The average length of stay in the neuroendoscopic group,microsurgery group,and ventricular drainage group was(14.20±3.18)days,(26.59±4.98)days,(29.58±7.54)days,and the difference was statistically significant.Conclusions:In the three surgical treatments of intraventricular hemorrhage,the neuroendoscopic group was superior to microsurgery group and the ventricular drainage group in the residual rate of hematoma,the incidence of postoperative complications,the daily living ability after six months,the average extubation time and the average length of hospital stay.Therefore,the above results suggest that our neuroendoscopic treatment methods are less invasive,safe,less complications,and postoperative recovery than ventricular drainage and microsurgery.With such advantages,to a certain extent,it can also reduce the cost of hospitalization,reduce the burden on patients,improve the quality of life after surgery,and save medical resources.Therefore,neuroendoscopic treatment of intraventricular hemorrhage in surgical treatment worthy of promotion and popularization.