Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (2): 44-48.doi: 10.6040/j.issn.1671-7554.0.2019.1334

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Safety and efficacy of neuronavigation-guided minimally invasive aspiration for 17 patients of supratentorial intracerebral hemorrhage with hernia

ZHANG Chunyun, HE Wei, JIANG Bin, WEI Zhaosheng, WANG Zhigang   

  1. Department of Neurosurgery, Qilu Hospital of Shandong University(Qingdao), Qingdao 266035, Shandong, China
  • Online:2020-02-10 Published:2022-09-27

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Abstract: Objective To evaluate the safety and efficacy of neuronavigation-guided aspiration for large supratentorial intracerebral hemorrhage complicated with hernia. Methods A total of 33 patients with supratentorial intracerebral hemorrhage treated during Jul. 2017 and Dec. 2018 were divided into 2 groups: neuronavigation-guided minimally surgery group(n=17)and craniotomy group(n=16). The operation time, evacuation rate and postoperative complications were compared. The preoperative and postoperative 1d neurological status were evaluated with Glasgow Coma Scale(GCS). The neurological recovery was evaluated with modified Rankin Scale(mRS). Results There were no significant difference in baseline parameters between the 2 groups. The neuronavigation-guided group had significantly shorter operation time but higher evacuation rate than the craniotomy group(P<0.01). There was no difference in postoperative 1d GCS(P=0.29). The mRS score was significantly improved in neuronavigation-guided group 6 months after surgery(P=0.026). There was no significant differences in the incidence of complications such as rehemorrhage and hydrocephalus. Conclusion Neuronavigation-guided minimally invasive aspiration is simple, safe and effective in the treatment of supratentorial intracerebral hemorrhage with hernia. It can facilitate recovery of neurological function and improve patients prognosis.

Key words: Supratentorial intracerebral hemorrhage, Hernia, Minimally invasive surgery, Neuronavigation, Prognosis

CLC Number: 

  • R743.34
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