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	Keyhole Endoscopic Hematoma Evacuation in Patients
	Zhu, Hongwei ; Zhu HW(朱宏伟) ; Wang, Zhanxiang ; Shi, Wei
	2012-05
关键词	Keyhole endoscopy Intracerebral hemorrhage Operation timing Minimally invasive surgery
英文摘要	AIM: Keyhole endoscopy is a promising therapeutic option for spontaneous intracerebral hemorrhage (ICH). We sought to compare the clinical outcomes between keyhole endoscopy surgery and craniotomy for basal ganglia ICH. MATERIAL and METHODS: The authors performed a retrospective analysis of the clinical and radiographic data obtained in 28 keyhole endoscopic procedures and 30 craniotomy procedures. Hematoma evacuation rate, infection rate, rebleeding and mean operation time were recorded as primary end points. Outcome Scale (GOS) values were recorded at the 3-month postoperative follow-up. The operation time from symptom onset is also studied between <8 hours group and 8-24 hours group. RESULTS: The evacuation rate was significantly higher in the endoscopy group compared with the craniotomy group (P<0.05), and infectious rate was lower in the endoscopy group compared with the craniotomy group( P<0.05). Mortality rates between the 2 groups did not show statistically significant differences. The patients operated within 8h had better outcome (GOS 4 and 5) than that operated between 8-24h (p <0.05). CONCLUSION: The data indicate that in patients with ICH, keyhole endoscopic surgery is safe and feasible, while operation within 8h can promote recovery of patients. These preliminary results warrant further study in a large, prospective, randomized trial in the near future.
语种	英语
出版者	TURKISH NEUROSURGICAL SOC
内容类型	期刊论文
源URL	[http://dx.doi.org/10.5137/1019-5149.JTN.5136-11.1]
专题	医学院－已发表论文
推荐引用方式 GB/T 7714	Zhu, Hongwei,Zhu HW,Wang, Zhanxiang,et al. Keyhole Endoscopic Hematoma Evacuation in Patients[J],2012.
APA	Zhu, Hongwei,朱宏伟,Wang, Zhanxiang,&Shi, Wei.(2012).Keyhole Endoscopic Hematoma Evacuation in Patients..
MLA	Zhu, Hongwei,et al."Keyhole Endoscopic Hematoma Evacuation in Patients".(2012).

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