Treatment Outcome Between Endoscopic Surgery and Conventional Craniotomy for Spontaneous Supratentorial Intracerebral Hemorrhage; a Randomized Controlled Trial

none0 个研究点开始时间: 2020年1月16日最近更新: 2024年8月19日

适应症

试验速览

阶段: 4 期
状态: 已完成
发起方

研究概览入排标准研究者记录与标识符相似试验

研究概览

简要总结

For patients with supratentorial ICH who were surgically indicated, ES was more beneficial in functional outcomes than CC. In addition, ICH removal with ES was performed in a shorter operative time and less blood loss with comparable complications. These findings confirmed the safety and efficacy of clot removal with minimizing brain injury during endoscopic removal of ICH.

研究设计

研究类型: Interventional

入排标准

年龄范围: 18 Years 至 80 Years（—）
性别: All

入选标准

•1. newly diagnosed spontaneous intracerebral hemorrhage in supratentorial area
•2. hematoma volume > 30 ml
•3. Glasgow coma score 5-14 or NIHSS > 6
•4. able to start treatment within 24 hours after the onset
•5. SBP < 200 mmHg or MAP < 130 mHG more than 6 hours before treatment
•6. Modified Rankin Scale 0-1 before the onset

排除标准

•1. intracerenral hemorrhage associated with ruptured cerebral aneurysms, vascular malformations, Moyamoya disease, venous sinus thrombosis, tumor, trauma, hemorrhagic transforamtion of cerebral infarction or recurrent hemorrhage within 1 year
•2. Bilateral fixed dilated pupils or extensor motor posturing
•3. Presence of intraventricular hemorrhage >50% in lateral ventricle or obtructive hydrocephalus
•4. infratentorial hemorrhage
•5. coagulopathy
•6. active bleeding in gastrointestinal, retroperitoneal, or respiratory tract
•7. Platelet count < 100,000 or internaltional normalized ratio > 1.3
•8. End stage renal or liver disease or other disease contraindicated for surgery
•9. pregnancy
•10. Unidentified subjects or lack of care-givers

研究者

发起方

none

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