Intracerebral hemorrhage with tentorial herniation: Conventional open surgery or emergency stereotactic craniopuncture aspiration surgery?
Intracerebral hemorrhage with tentorial herniation: Conventional open surgery or emergency stereotactic craniopuncture aspiration surgery?
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DOI：
10.1515/tnsci-2020-0173
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发表时间：
2021-01-01
影响因子：
2.1
通讯作者：
Tang Z
中科院分区：
文献类型：
--
作者：
Shi J;Zou X;Jiang K;Tan L;Wang L;Ren S;Mao Y;Yang C;Wang W;Wu G;Tang Z
To observe the therapeutic effect of conventional decompressive craniectomy with hematoma evacuation and frame-based stereotactic minimally invasive surgery (MIS) for supratentorial intracranial hematoma with herniation. One hundred forty-nine patients with hypertensive ICH complicated with tentorial herniation were reviewed and analyzed in the present study. The intracranial hematoma was evacuated by emergency surgery within 6 h after admission. According to the authorized representatives’ wishes and consent, 74 of the 149 patients were treated by conventional decompressive craniectomy followed by hematoma removal, defined as the CDC group, and the remaining 75 patients underwent frame-based stereotactic MIS for ICH evacuation, defined as the MIS group. The intervals between the admission to surgery, the duration of surgery, the amount of iatrogenic bleeding, the occurrence of postoperative rebleeding, and the recovery of neurological functions were compared between the two groups. All patients were followed up for 3 months. Secondary epilepsy, survival in a vegetative state, severe pulmonary complications, mortality, and activities of daily living (ADL) classification were also recorded and compared. The interval between admission and surgery, the duration of surgery, and intraoperative blood loss in the MIS group were significantly decreased compared to the CDC group. The mortality rate, the rate of rebleeding, prevalence of vegetative state, and severe pulmonary complications in the MIS group were remarkably decreased compared to the CDC group. In the MIS group, the survivors’ (ADL) grade also showed advantages. In the surgical treatment of hypertensive ICH complicated with tentorial herniation, frame-based stereotactic MIS for ICH showed advantages compared to conventional open surgery.
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脑部出血疏散（Mistie）中微创手术加上高度的安全性和功效：一项随机，控制，开放标签，第2期试验。
影响因子：
48
作者：
Hanley, Daniel F.;Thompson, Richard E.;Muschelli, John;Rosenblum, Michael;McBee, Nichol;Lane, Karen;Bistran-Hall, Amanda J.;Mayo, Steven W.;Keyl, Penelope;Gandhi, Dheeraj;Morgan, Tim C.;Ullman, Natalie;Mould, W. Andrew;Carhuapoma, J. Ricardo;Kase, Carlos;Ziai, Wendy;Thompson, Carol B.;Yenokyan, Gayane;Huang, Emily;Broaddus, William C.;Graham, R. Scott;Aldrich, E. Francois;Dodd, Robert;Wijman, Cristanne;Caron, Jean-Louis;Huang, Judy;Camarata, Paul;Mendelow, A. David;Gregson, Barbara;Janis, Scott;Vespa, Paul;Martin, Neil;Awad, Issam;Zuccarello, Mario
通讯作者：
Zuccarello, Mario
影响因子：
168.9
作者：
Hanley, Daniel F.;Thompson, Richard E.;Awad, Issam A.
通讯作者：
Awad, Issam A.
影响因子：
48
作者：
van Asch, Charlotte J. J.;Luitse, Merel J. A.;Klijn, Catharina J. M.
通讯作者：
Klijn, Catharina J. M.
影响因子：
2
作者：
Alan, Nima;Lee, Phillip;Jankowitz, Brian T.
通讯作者：
Jankowitz, Brian T.
DOI：
10.1016/j.jstrokecerebrovasdis.2011.08.005
发表时间：
2013-04-01
影响因子：
2.5
作者：
Wu, Guofeng;Wang, Likun;Qin, Guannan
通讯作者：
Qin, Guannan