Clinical Research Of Neuroendoscopy Combined Extraventricular Drainage And Lumbar Cistern Drainage Sequential Treating Moderate And Severe Intraventricular Hemorrhage

ObjectiveTo compare the clinical effect of neuroendoscopic evacuation of hematoma combined external ventricular drainage and lumbar cistern drainage with simple extra ventricular drainage for the treatment of ventricular hemorrhage.MethodsDating from the medical records of 96 patients with ventricular hemorrhage from September 2014 to July 2016 in the second affiliated hospital were reviewed,48 patients with moderate and severe ventricular hemorrhage were screened.They were divided into the endoscopic group and the drainage group.25 cases from the endoscopic group were treated with neural endoscopic evacuation of hematoma combined external ventricular drainage and lumbar cistern drainage.23 cases from the drainage group were treated with simple external ventricular drainage.The rate of hematoma removal,rate of intracranial infection,rate of communicating hydrocephalus,outcome after operations between two group were compared.ResultsThe rate of hematoma removal in the endoscopic group was better than that in the drainage group on the first day post-operation,with significant difference(69.33%± 6.09 vs 12.67% ± 5.12)(P < 0.05).The removal time of ventricular drainage catheter in the endoscopic group was remarkably shorter than that in the drainage group(7.1±0.81 vs 13.1±1.26),with significant difference(P<0.05).The rate of intracranial infection(4% vs 11.7%)and hydrocephalus in the endoscopic group were lower than that in the drainage group(4% vs13.3%).The rate of good recovery in the endoscopic group was higher than that in the drainage group(76% vs 52%),with significant difference(P<0.05).ConclusionNeural endoscopic removal of hematoma combined external ventricular drainage and lumbar cistern drainage treating ventricular hemorrhage can significantly improve outcome of patients and reduce associated complications.It is effective andsafe and worthy of clinical practical application.