Different Techniques of Minimally Invasive Craniopuncture for the Treatment of Hypertensive Intracerebral Hemorrhage
| Autor: | Qiu Han, Guan-Liang Cheng, Xiu Yang, Bing Chen, Lei Xia, Chun-Feng Liu, Quan Chen, Xiao-Yu Ni |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Inflammatory response Urology Computed tomography Intracranial Hemorrhage Hypertensive medicine.disease_cause Cerebral edema 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Malondialdehyde medicine Humans Minimally Invasive Surgical Procedures Paracentesis Intracerebral hemorrhage medicine.diagnostic_test Interleukin-6 Superoxide Dismutase Tumor Necrosis Factor-alpha Stroke scale business.industry Brain Middle Aged medicine.disease Treatment Outcome chemistry 030220 oncology & carcinogenesis Female Surgery Neurology (clinical) Tomography X-Ray Computed business 030217 neurology & neurosurgery Oxidative stress |
| Zdroj: | World Neurosurgery. 126:e888-e894 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2019.03.006 |
| Popis: | Efficacy of minimally invasive craniopuncture with the YL-1 puncture needle (hard-channel) and soft drainage tube (soft-channel) in treating hypertensive intracerebral hemorrhage (HICH).A total of 150 patients with HICH were randomly assigned into 3 groups: conservative group (n = 50), hard-channel group (n = 50), and soft-channel group (n = 50). Computed tomography, National Institutes of Health Stroke Scale (NIHSS) and the levels of interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), superoxide dismutase (SOD), and malondialdehyde (MDA) in serum and in drainage fluid were examined on days 2, 4, and 6 after operation.Compared with the conservative group, the serum levels of IL-6, TNF-α, and MDA were decreased and SOD was increased (P0.05); volumes of hematoma and perihematomal edema as well as NIHSS were reduced (P0.05) in minimally invasive groups on days 7, 14, and 28 after operation. Compared with the hard-channel group, the serum levels of IL-6, TNF-α, MDA, and SOD showed the same trend as above in the soft-channel group. In the soft-channel group, MDA was reduced and SOD was increased in brain drainage fluid on days 2, 4, and 6 (P0.05); volumes of hematoma and perihematomal edema on days 14 and 28 were found to be reduced compared with the hard-channel group (P0.05). There was no significant difference of volumes of hematoma and perihematomal edema on day 7 between minimally invasive groups. NIHSS of the soft-channel group appeared to be significantly reduced on days 7, 14, and 28 after operation (P0.05).Soft-channel minimally invasive craniopuncture is an ideal technique for treating HICH, with advantages of alleviating cerebral edema, reducing oxidative stress, and inhibiting inflammatory response. |
| Databáze: | OpenAIRE |
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