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An analysis about the initial clearance rate in minimally invasive procedures for intracerebral hematoma evacuation |
Yin Qi-hua, He Jian-li, Song Zhi-bin, Wang Hui, Zeng Ya-qing, Wang Qin,Qi Mei, Zhang Xiao-feng. |
Department of Neurology, Shaoxing Municipal Hospital, Shaoxing 312000,China |
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Abstract Objective To analyze the best initial clearance rate in minimally invasive procedures for intracerebral hematoma evacuation. Methods A total of 88 patients who underwent minimally invasive treatment during January 2008 to September 2015 were divided into 3 groups according to their first clearance rate, the residual hematoma absorption rate, edema volume, NIHSS score and rebleeding rate were compared. Results The difference of the residual hematoma absorption rate, edema volume and NIHSS score in 3 groups were statistically significant on 3,7,14 days after the surgery(P<0.00).The first clearance rat and NIHSS score had relations to the residual hematoma absorption rate and edema volume. The difference of rebleeding rate had no statistical significance. Conclusion Minimally invasive procedures for intracerebral hematoma evacuation have effect on the residual hematoma absorption rate, edema volume and neural function. High hematoma clearance rate leads to high residual hematoma absorption rate, low edma volume and fast neural function recovery. In patients with first clearance rate below 60%, the higher initial clearance rate leads to better recovery.
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Received: 13 November 2016
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Corresponding Authors:
Song Zhi-bin, E-mail: frandk@163.com; He Jian-li, E-mail:hejianli1989@163.com
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