Meta analysis of framless stereotactic hematoma clearance and craniotomy for cerebellar hemorrhage

doi:10.3877/cma.j.issn.2095-123X.2021.03.005

Abstract

Abstract:

Objective

To compare the efficacy of stereotactic hematoma clearance and craniotomy in the treatment of cerebellar hemorrhage.

Methods

According to the set retrieval strategy, the major databases were searched extensively, and the included research was analyzed by meta with RevMan 5.3 software.

Results

A total of 591 cases were collected in 10 clinical studies, including 297 cases in the directional group and 294 cases in the craniotomy group. There was no significant difference between the two groups in postoperative daily activity and postoperative rebleeding (P>0.05). The directional group had more advantages in the operation and hospitalization time intraoperative bleeding volume and postoperative complications, the difference was statistically significant (P<0.05).

Conclusion

Frameless stereotactic hematoma removal, as a minimally invasive surgical method, has many advantages in the treatment of cerebellar hemorrhage, which is suitable for clinical application.

Key words: Stereotactic, Craniotomy, Cerebellar hemorrhage

Ao Li, Jun Liu, Yuanliang Ye, Yongcai Li, Mengfei Chen. Meta analysis of framless stereotactic hematoma clearance and craniotomy for cerebellar hemorrhage[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2021, 11(03): 153-158.

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Figures/Tables 11

References 26

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作者	例数		年龄（岁）		出血量（mL）		GCS评分（分）		观察指标
作者	定向组	开颅组	定向组	开颅组	定向组	开颅组	定向组	开颅组	观察指标
覃进波^[10]2018	40	40	61.65±5.03	61.57±4.98	28.46±6.40	28.53±6.44	-	-	①②④⑤
魏林平^[11]2018	60	50	61.84±4.48	60.81±4.48	18.64±3.37	18.34±3.57	6.71±2.38	6.41±2.78	⑤
杨利超^[12]2017	16	16	58.30±2.70	60.10±1.40	23.30±2.20	22.40±2.30	-	-	⑤
王兴铧^[13]2017	33	28	62.51±14.82	61.12±13.91	15.19±3.82	15.56±3.21	-	-	①②⑤
曾彪^[14]2016	34	34	65.44±8.31	65.33±8.35	-	-	7.96±1.36	7.91±1.30	②④⑤
耿怀亮^[15]2015	12	28	60.92±7.98	57.33±6.73	17.64±3.33	19.41±3.74	8.92±2.43	9.22±2.21	①⑤
张保云^[16]2015	30	27	55.20±18.10	54.90±17.90	-	-	12.54±2.31	12.32±2.09	①②③④⑤
马献昆^[17]2014	28	27	70.50±17.30	65.20±16.80	23.20±6.80	21.30±7.20	-	-	①
郭锋^[18]2013	21	17	65.00±11.30	59.20±13.20	22.40±5.70	22.50±6.50	-	-	①⑤
Lihong Li^[19]2018	23	27	62.50±7.30	60.20±8.10	15.50±3.60	14.30±3.40	11.60±2.90	12.10±1.80	③⑤

作者	例数		年龄（岁）		出血量（mL）		GCS评分（分）		观察指标
作者	定向组	开颅组	定向组	开颅组	定向组	开颅组	定向组	开颅组	观察指标
覃进波^[10]2018	40	40	61.65±5.03	61.57±4.98	28.46±6.40	28.53±6.44	-	-	①②④⑤
魏林平^[11]2018	60	50	61.84±4.48	60.81±4.48	18.64±3.37	18.34±3.57	6.71±2.38	6.41±2.78	⑤
杨利超^[12]2017	16	16	58.30±2.70	60.10±1.40	23.30±2.20	22.40±2.30	-	-	⑤
王兴铧^[13]2017	33	28	62.51±14.82	61.12±13.91	15.19±3.82	15.56±3.21	-	-	①②⑤
曾彪^[14]2016	34	34	65.44±8.31	65.33±8.35	-	-	7.96±1.36	7.91±1.30	②④⑤
耿怀亮^[15]2015	12	28	60.92±7.98	57.33±6.73	17.64±3.33	19.41±3.74	8.92±2.43	9.22±2.21	①⑤
张保云^[16]2015	30	27	55.20±18.10	54.90±17.90	-	-	12.54±2.31	12.32±2.09	①②③④⑤
马献昆^[17]2014	28	27	70.50±17.30	65.20±16.80	23.20±6.80	21.30±7.20	-	-	①
郭锋^[18]2013	21	17	65.00±11.30	59.20±13.20	22.40±5.70	22.50±6.50	-	-	①⑤
Lihong Li^[19]2018	23	27	62.50±7.30	60.20±8.10	15.50±3.60	14.30±3.40	11.60±2.90	12.10±1.80	③⑤

作者	设计方法	质量得分
覃进波^[10]2018	RCT	4
魏林平^[11]2018	非RCT	8
杨利超^[12]2017	RCT	4
王兴铧^[13]2017	非RCT	8
曾彪^[14]2016	RCT	4
耿怀亮^[15]2015	非RCT	8
张保云^[16]2015	非RCT	8
马献昆^[17]2014	非RCT	8
郭锋^[18]2013	非RCT	8
Lihong Li^[19]2018	非RCT	8

作者	设计方法	质量得分
覃进波^[10]2018	RCT	4
魏林平^[11]2018	非RCT	8
杨利超^[12]2017	RCT	4
王兴铧^[13]2017	非RCT	8
曾彪^[14]2016	RCT	4
耿怀亮^[15]2015	非RCT	8
张保云^[16]2015	非RCT	8
马献昆^[17]2014	非RCT	8
郭锋^[18]2013	非RCT	8
Lihong Li^[19]2018	非RCT	8

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