Traditional craniotomy versus current minimally invasive surgery for spontaneous supratentorial intracerebral haemorrhage:A propensity-matched analysis  

作　　者：Zhen-Kun Xiao Yong-Hong Duan Xin-Yu Mao Ri-Chu Liang Min Zhou Yong-Mei Yang 

机构地区：[1]Hengyang Key Laboratory of Hemorrhagic Cerebrovascular Disease,Department of Neurosurgery,Hengyang Medical School,University of South China,Hengyang 421000,Hunan Province,China [2]Department of Anatomy,Hengyang Medical School,University of South China,Hengyang 421000,Hunan Province,China

出　　处：《World Journal of Radiology》2024年第8期317-328,共12页世界放射学杂志（英文版）（电子版）

基　　金：Supported by The Technology Innovation Guidance Programme of Science and Technology,Department of Hunan Province,No.2020SK51708;The Scientific Research Programme of Hunan Provincial Health Commission,No.B2019110 and No.20201959;The Hunan Nature Science Foundation,No.S2023JJMSXM1898.

摘　　要：BACKGROUND Minimally invasive surgery(MIS)and craniotomy(CI)are the current treatments for spontaneous supratentorial cerebral haemorrhage(SSTICH).AIM To compare the efficacy and safety of MIS and CI for the treatment of SSTICH.METHODS Clinical and imaging data of 557 consecutive patients with SSTICH who underwent MIS or CI between January 2017 and December 2022 were retrospectively analysed.The patients were divided into two subgroups:The MIS group and CI group.Propensity score matching was performed to minimise case selection bias.The primary outcome was a dichotomous prognostic(favourable or unfavourable)outcome based on the modified Rankin Scale(mRS)score at 3 months;an mRS score of 0–2 was considered favourable.RESULTS In both conventional statistical and binary logistic regression analyses,the MIS group had a better outcome.The outcome of propensity score matching was unexpected(odds ratio:0.582;95%CI:0.281–1.204;P=0.144),which indicated that,after excluding the interference of each confounder,different surgical modalities were more effective,and there was no significant difference in their prognosis.CONCLUSION Deciding between MIS and CI should be made based on the individual patient,considering the hematoma size,degree of midline shift,cerebral swelling,and preoperative Glasgow Coma Scale score.

关 键 词：Cerebral haemorrhage Intracerebral haemorrhage Minimally invasive surgery CRANIOTOMY Propensity-matched analysis 

分 类 号：R735[医药卫生—肿瘤]