Meta analysis of the curative effect of transfrontal and temporal hematoma drilling and drainage for hypertensive intracerebral hemorrhage

doi:10.3877/cma.j.issn.2095-123X.2019.01.002

Abstract

Abstract:

Objective

To compare the therapeutic effect between frontal and temporal hematoma drilling and drainage for hypertensive intracerebral hemorrhage.

Methods

According to the search strategy, Chinese databases such as China HowNet, Wanfang, Weipu and English databases such as Medline, Embase and Cochrane were retrieved. RevMan 5.3 software was used for Meta analysis of research that met the inclusion exclusion criteria.

Results

Five clinical studies were found to be in line with the criteria. A total of 488 cases were reported, including 236 cases in the frontal drilling group and 252 cases in the temporal drilling group. There was no significant difference between the two groups in the operation time, the residual amount of hematoma on the 7^th day and the incidence of complications after operation. The frontal drilling and drainage group had more advantages in the residual amount of hematoma on the 3^rd day after operation, the length of hospital stay and the ability of daily activities after operation.

Conclusion

Borehole drainage of frontal hematoma is more effective than that of temporal hematoma in clearing hematoma and improving prognosis.

Key words: Hematoma drilling and drainage, Hypertensive intracerebral hemorrhage, Minimal invasive, Meta analysis

Ao Li, Yongcai Li, Yan Ha, Andong Du, Mengfei Chen. Meta analysis of the curative effect of transfrontal and temporal hematoma drilling and drainage for hypertensive intracerebral hemorrhage[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2019, 09(01): 5-9.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhnkjbykfzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-123X.2019.01.002

https://zhnkjbykfzz.cma-cmc.com.cn/EN/Y2019/V09/I01/5

Figures/Tables 9

References 17

[1]	李傲，朱素英，陈梦飞,等.高血压脑出血患者流行病学及临床特征分析[J].中华脑科疾病与康复杂志（电子版）, 2018, 8(1): 11-14.
[2]	王文娟，刘艳芳，赵性泉.脑出血治疗指南[J].中国卒中杂志, 2006, 1(12): 888-899.
[3]	Stang A. Critical evaluation of the newcastle-ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses[J]. Eur J Epidemiol, 2010, 25(9): 603-605.
[4]	Ye Z, Ai X, Hu X, et al. Comparison of neuroendoscopic surgery and craniotomy for supratentorial hypertensive intracerebral hemorrhage: a meta-analysis[J]. Medicine (Baltimore), 2017, 96(35): e7876.
[5]	郑明华. META分析软件应用与实例解析[M].第1版.北京:人民卫生出版社, 2017: 4.
[6]	何明亮，黄浩炜，何永通,等.额部和颞部钻孔引流术治疗基底节区高血压脑出血的疗效[J].中国临床神经外科杂志, 2015, 20(6): 376-377.
[7]	周业，王盛，陈太董.不同微创钻孔引流方案治疗高血压性脑出血疗效及安全性比较[J].检验医学与临床, 2017, 14(18): 2720-2721, 2724.
[8]	夏志强，杜彦挺，杜光勇,等.额部钻孔与颞部钻孔引流治疗高血压基底核区出血的临床效果比较[J].实用心脑肺血管病杂志, 2016, 24(10): 128-130.
[9]	周达全，彭鹏，胡克琦,等.经颞部和额部入路微创钻孔引流治疗中等量基底节区高血压性脑出血临床对比[J].中国临床研究, 2017, 30(6): 798-800.
[10]	申岳林，童运梅，雷兰芳,等.微创钻孔引流位置不同对基底节区高血压性脑出血患者血肿清除量、生活质量及并发症发生风险的影响[J].国际神经病学神经外科学杂志, 2016, 43(6): 536-539.
[11]	Wei S, Sun J, Li J, et al. Acute and delayed protective effects of pharmacologically induced hypothermia in an intracerebral hemorrhage stroke model of mice[J]. Neuroscience, 2013, 252(12): 489-500.
[12]	Chen S, Zeng L, Hu Z. Progressing haemorrhagic stroke: categories, causes, mechanisms and managements[J]. J Neurol, 2014, 261(11): 2061-2078.
[13]	Chi FL, Lang TC, Sun SJ, et al. Relationship between different surgical methods, hemorrhage position, hemorrhage volume, surgical timing, and treatment outcome of hypertensive intracerebral hemorrhage[J]. World J Emerg Med, 2014, 5(3): 203-208.
[14]	Li F, Chen QX. Risk factors for mental disorders in patients with hypertensive intracerebral hemorrhage following neurosurgical treatment[J]. J Neurol Sci, 2014, 341(1-2): 128-132.
[15]	Hanley DF, Lane K, McBee N, et al. Thrombolytic removal of intraventricular haemorrhage in treatment of severe stroke: results of the randomised, multicentre, multiregion, placebo-controlled clear III trial[J]. Lancet, 2017, 389(10069): 603-611.
[16]	Fam MD, Hanley D, Stadnik A, et al. Surgical performance in minimally invasive surgery plus recombinant tissue plasminogen activator for intracerebral hemorrhage evacuation phase III clinical trial[J]. Neurosurgery, 2017, 81(5): 860-866.
[17]	李春虎，郑全乐，张家瑞,等.微创钻孔引流术在高血压脑出血中的应用价值研究[J].中华神经创伤外科电子杂志, 2017, 3(2): 80-84.

文献	样本量（例）	年龄（岁）		出血量（mL)		术前GCS评分		观察指标
文献	样本量（例）	额部组	颞部组	额部组	颞部组	额部组	颞部组	观察指标
何明亮等^[6]2015	116	58.80±7.40	60.00±7.70	43.10±6.00	43.20±5.60	8.90±1.30	8.80±1.10	手术时间；术后第3天血肿残余量；术后第7天血肿残余量；术后并发症发生率；ADL
周业等^[7]2017	80	59.82±5.37	59.74±5.33	43.70±6.28	43.77±6.31	8.46±1.62	8.40±1.59	手术时间；术后第3天血肿残余量；术后第7天血肿残余量；术后并发症发生率；ADL
夏志强等^[8]2016	74	59.40±6.70	59.10±6.90	43.30±5.70	43.10±6.10	8.80±0.90	9.00±0.80	手术时间；住院时间；术后并发症发生率；ADL
周达全等^[9]2017	110	57.88±5.42	57.94±5.50	43.10±5.35	42.95±5.30	8.21±1.39	8.27±1.42	术后第3天血肿残余量；术后第7天血肿残余量；术后并发症发生率；ADL手术时间；术后第3天血肿残余量；术后第7
申岳林等^[10]2016	108	59.70±12.10	60.10±11.70	43.30±5.40	43.50±4.80	8.90±1.20	8.80±1.30	天血肿残余量；住院时间；术后并发症发生率；ADL

文献	样本量（例）	年龄（岁）		出血量（mL)		术前GCS评分		观察指标
文献	样本量（例）	额部组	颞部组	额部组	颞部组	额部组	颞部组	观察指标
何明亮等^[6]2015	116	58.80±7.40	60.00±7.70	43.10±6.00	43.20±5.60	8.90±1.30	8.80±1.10	手术时间；术后第3天血肿残余量；术后第7天血肿残余量；术后并发症发生率；ADL
周业等^[7]2017	80	59.82±5.37	59.74±5.33	43.70±6.28	43.77±6.31	8.46±1.62	8.40±1.59	手术时间；术后第3天血肿残余量；术后第7天血肿残余量；术后并发症发生率；ADL
夏志强等^[8]2016	74	59.40±6.70	59.10±6.90	43.30±5.70	43.10±6.10	8.80±0.90	9.00±0.80	手术时间；住院时间；术后并发症发生率；ADL
周达全等^[9]2017	110	57.88±5.42	57.94±5.50	43.10±5.35	42.95±5.30	8.21±1.39	8.27±1.42	术后第3天血肿残余量；术后第7天血肿残余量；术后并发症发生率；ADL手术时间；术后第3天血肿残余量；术后第7
申岳林等^[10]2016	108	59.70±12.10	60.10±11.70	43.30±5.40	43.50±4.80	8.90±1.20	8.80±1.30	天血肿残余量；住院时间；术后并发症发生率；ADL

纳入研究	设计方法	质量得分
何明亮等^[6]2015	非随机对照试验	8
周业等^[7]2017	随机对照试验	4
夏志强等^[8]2016	非随机对照试验	8
周达全等^[9]2017	随机对照试验	4
申岳林等^[10]2016	非随机对照试验	8

纳入研究	设计方法	质量得分
何明亮等^[6]2015	非随机对照试验	8
周业等^[7]2017	随机对照试验	4
夏志强等^[8]2016	非随机对照试验	8
周达全等^[9]2017	随机对照试验	4
申岳林等^[10]2016	非随机对照试验	8

Please choose a citation manager

Content to export