Clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under CT real-time guide
Objective To study the efficacy and safety of hematoma puncture catheter drainage under CT real-time guide for treatment of intracerebral hemorrhage (ICH). Methods A total of 80 ICH patients with hematoma volume 15-30 ml were given conservative treatment (control group, 40 cases including 6 cases wi...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tianjin Huanhu Hospital
2018-11-01
|
| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
| Subjects: | |
| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/1865 |
| _version_ | 1828903232210993152 |
|---|---|
| author | Zhong-zheng HE Zhan-yao WANG Hong WANG Yan-ping YANG An-sheng WANG Qian-fa LONG Wen-feng NING Xiao-ping WU Shu-yuan YUE |
| author_facet | Zhong-zheng HE Zhan-yao WANG Hong WANG Yan-ping YANG An-sheng WANG Qian-fa LONG Wen-feng NING Xiao-ping WU Shu-yuan YUE |
| author_sort | Zhong-zheng HE |
| collection | DOAJ |
| description | Objective To study the efficacy and safety of hematoma puncture catheter drainage under CT real-time guide for treatment of intracerebral hemorrhage (ICH). Methods A total of 80 ICH patients with hematoma volume 15-30 ml were given conservative treatment (control group, 40 cases including 6 cases with hematoma volume 15-20 ml and 34 cases with hematoma volume > 20-30 ml) and hematoma puncture and catheter drainage under CT real-time guide (operation group, 40 cases with hematoma volume > 20-30 ml). Conscious states were evaluated by Glasgow Coma Scale (GCS) on admission and 3 d after onset. Neurological deficits of patients were evaluated by National Institutes of Health Stroke Scale (NIHSS) on admission and discharge. Hospitalization days and complications (including rebleeding, epilepsy, intracranial infection, severe pulmonary infection and bleeding caused by digestive tract stress ulcer) were recorded. Results The GCS scores 3 d after onset (P = 0.000) and NIHSS scores on discharge (P = 0.000) of 2 groups were significantly lower than those on admission. The GCS score of operation group was significantly higher (P = 0.003) and NIHSS score was significantly lower (P = 0.000) than that of control group. The hospitalization time of operation group was significantly lower than those of control group [(10.53 ± 2.64) d vs. (17.30 ± 4.92) d; t = 7.673, P = 0.000]. Complications including rebleeding, intracranial infection, severe pulmonary infection and bleeding caused by digestive tract stress ulcer did not occur in patients of 2 groups. Conclusions For supratentorial hemorrhage patients withhematoma volume 15-30 ml, in comparison with conservative treatment, operation with hematoma puncture and catheter drainage under CT real-time guide can save hospitalization days, relieve edema peak response and improve the prognosis.
DOI: 10.3969/j.issn.1672-6731.2018.11.007 |
| first_indexed | 2024-12-13T16:31:13Z |
| format | Article |
| id | doaj.art-733526871a6a4369a2506d392428707d |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-12-13T16:31:13Z |
| publishDate | 2018-11-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-733526871a6a4369a2506d392428707d2022-12-21T23:38:30ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312018-11-01181179680110.3969/j.issn.1672-6731.2018.11.0071820Clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under CT real-time guideZhong-zheng HE0Zhan-yao WANG1Hong WANG2Yan-ping YANG3An-sheng WANG4Qian-fa LONG5Wen-feng NING6Xiao-ping WU7Shu-yuan YUE8Department of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Imaging, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Imaging, Xi'an Central Hospital, Xi'an 710003, Shaanxi, ChinaDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300052, ChinaObjective To study the efficacy and safety of hematoma puncture catheter drainage under CT real-time guide for treatment of intracerebral hemorrhage (ICH). Methods A total of 80 ICH patients with hematoma volume 15-30 ml were given conservative treatment (control group, 40 cases including 6 cases with hematoma volume 15-20 ml and 34 cases with hematoma volume > 20-30 ml) and hematoma puncture and catheter drainage under CT real-time guide (operation group, 40 cases with hematoma volume > 20-30 ml). Conscious states were evaluated by Glasgow Coma Scale (GCS) on admission and 3 d after onset. Neurological deficits of patients were evaluated by National Institutes of Health Stroke Scale (NIHSS) on admission and discharge. Hospitalization days and complications (including rebleeding, epilepsy, intracranial infection, severe pulmonary infection and bleeding caused by digestive tract stress ulcer) were recorded. Results The GCS scores 3 d after onset (P = 0.000) and NIHSS scores on discharge (P = 0.000) of 2 groups were significantly lower than those on admission. The GCS score of operation group was significantly higher (P = 0.003) and NIHSS score was significantly lower (P = 0.000) than that of control group. The hospitalization time of operation group was significantly lower than those of control group [(10.53 ± 2.64) d vs. (17.30 ± 4.92) d; t = 7.673, P = 0.000]. Complications including rebleeding, intracranial infection, severe pulmonary infection and bleeding caused by digestive tract stress ulcer did not occur in patients of 2 groups. Conclusions For supratentorial hemorrhage patients withhematoma volume 15-30 ml, in comparison with conservative treatment, operation with hematoma puncture and catheter drainage under CT real-time guide can save hospitalization days, relieve edema peak response and improve the prognosis. DOI: 10.3969/j.issn.1672-6731.2018.11.007http://www.cjcnn.org/index.php/cjcnn/article/view/1865Cerebral hemorrhageDrainageTomography, X-ray computed |
| spellingShingle | Zhong-zheng HE Zhan-yao WANG Hong WANG Yan-ping YANG An-sheng WANG Qian-fa LONG Wen-feng NING Xiao-ping WU Shu-yuan YUE Clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under CT real-time guide Chinese Journal of Contemporary Neurology and Neurosurgery Cerebral hemorrhage Drainage Tomography, X-ray computed |
| title | Clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under CT real-time guide |
| title_full | Clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under CT real-time guide |
| title_fullStr | Clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under CT real-time guide |
| title_full_unstemmed | Clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under CT real-time guide |
| title_short | Clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under CT real-time guide |
| title_sort | clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under ct real time guide |
| topic | Cerebral hemorrhage Drainage Tomography, X-ray computed |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/1865 |
| work_keys_str_mv | AT zhongzhenghe clinicalstudyonhematomapunctureandcatheterdrainageintreatmentofintracerebralhemorrhageunderctrealtimeguide AT zhanyaowang clinicalstudyonhematomapunctureandcatheterdrainageintreatmentofintracerebralhemorrhageunderctrealtimeguide AT hongwang clinicalstudyonhematomapunctureandcatheterdrainageintreatmentofintracerebralhemorrhageunderctrealtimeguide AT yanpingyang clinicalstudyonhematomapunctureandcatheterdrainageintreatmentofintracerebralhemorrhageunderctrealtimeguide AT anshengwang clinicalstudyonhematomapunctureandcatheterdrainageintreatmentofintracerebralhemorrhageunderctrealtimeguide AT qianfalong clinicalstudyonhematomapunctureandcatheterdrainageintreatmentofintracerebralhemorrhageunderctrealtimeguide AT wenfengning clinicalstudyonhematomapunctureandcatheterdrainageintreatmentofintracerebralhemorrhageunderctrealtimeguide AT xiaopingwu clinicalstudyonhematomapunctureandcatheterdrainageintreatmentofintracerebralhemorrhageunderctrealtimeguide AT shuyuanyue clinicalstudyonhematomapunctureandcatheterdrainageintreatmentofintracerebralhemorrhageunderctrealtimeguide |