Abstract

Objective To investigate the application of ventriculoscope combined with sight glass in the treatment of hypertensive cerebral intraventricular hemorrhage. Methods Between June, 2005 and June, 2008, 34 patients with hypertensive cerebral intraventricular hemorrhage received treatment with ventriculoscope combined with sight glass, and another 40 patients were treated with routine external ventricular drainage plus urokinase therapy. The clinical outcomes of the patients in the two groups were comparatively analyzed. Results In the 34 cases treated with ventriculoscope combined with sight glass, most of the hematornas in the lateral and third ventricles were cleared with an average operating time of 50 min and mean consciousness recovery time of 7 days. All the patients were followed up for 6 months, and the prognosis evaluated by activity of daily living (ADL) scale showed significant difference between the two groups (P<0.05). Conclusion Ventrieuloscope combined with sight glass for treatment of hypertensive cerebral intraventricular hemorrhage allows better operative field exposure, minimal invasiveness, and rapid recovery of the patients, and may serve as a safe and effect ivesurgical approach for improving the prognosis of the patients. Key words: Sight glass; Ventriculoscope; Intraventricular hemorrhage; Hypertension

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